1295212355 KESMA FLAME LILY LLC
Professional Counselor
Active
Basic Information
- Organization Name
- KESMA FLAME LILY LLC
- Enumeration Date
- July 22, 2018
- Last Update
- September 25, 2023
- Authorized Official
- PETRONELLAH THOKO THOMAS-SHANOBI LPCC
CEO/CLINICAL DIRECTOR
Phone: (612) 408-7733
Practice Location
- Address
- 2800 FREEWAY BLVD
STE 204/7
MINNEAPOLIS, MN 554305543 - Phone
- (612) 408-7733
- Fax
- (763) 292-5653
Mailing Address
- Address
- 20705 OTERO AVE
HASTINGS, MN 550339600 - Phone
- (612) 408-7733
- Fax
- (763) 292-5653
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Home Health Agency | 251E00000X | Home Health | N/A | N/A | No |
| Mental Health Counselor Mental Health | 101YM0800X | Counselor | N/A | N/A | No |
| Community Health Clinic/Center Community Health | 261QC1500X | Clinic/Center | N/A | N/A | No |
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | No |
| Migrant Health Clinic/Center Migrant Health | 261QM1000X | Clinic/Center | N/A | N/A | No |
| Early Intervention Provider Agency | 252Y00000X | Early Intervention Provider Agency | N/A | N/A | No |
| Professional Counselor Professional | 101YP2500X | Counselor | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | 01 | MN | BEHAVIORAL HEALTH |
| 6744924000 | 05 | MN | N/A |
Frequently Asked Questions
What is KESMA FLAME LILY LLC's NPI number?
KESMA FLAME LILY LLC's NPI number is 1295212355.
Which doctor has NPI number 1295212355?
The doctor with NPI number 1295212355 is KESMA FLAME LILY LLC.
What is KESMA FLAME LILY LLC's practice address?
KESMA FLAME LILY LLC's practice address is 2800 FREEWAY BLVD, STE 204/7, MINNEAPOLIS, MN, 554305543.
Which doctor practices at 2800 FREEWAY BLVD, STE 204/7, MINNEAPOLIS, MN, 554305543?
KESMA FLAME LILY LLC practices at 2800 FREEWAY BLVD, STE 204/7, MINNEAPOLIS, MN, 554305543.
What is KESMA FLAME LILY LLC's mailing address?
KESMA FLAME LILY LLC's mailing address is 20705 OTERO AVE, HASTINGS, MN, 550339600.
What is KESMA FLAME LILY LLC's phone number?
KESMA FLAME LILY LLC's phone number is (612) 408-7733.
Who is (612) 408-7733?
(612) 408-7733 is the phone number for KESMA FLAME LILY LLC.
What is KESMA FLAME LILY LLC's specialty?
KESMA FLAME LILY LLC's specialty is Professional Counselor.
What type of doctor is KESMA FLAME LILY LLC?
KESMA FLAME LILY LLC is a Professional Counselor.
Is KESMA FLAME LILY LLC a Professional?
Yes, KESMA FLAME LILY LLC is a Professional.
Is KESMA FLAME LILY LLC still practicing?
Yes, KESMA FLAME LILY LLC is currently practicing.
Is KESMA FLAME LILY LLC accepting new patients?
KESMA FLAME LILY LLC may be accepting new patients. Please call their office at (612) 408-7733 to inquire about availability.
Is NPI 1295212355 still active?
Yes, NPI 1295212355 is currently active.
Where does KESMA FLAME LILY LLC practice?
KESMA FLAME LILY LLC practices in MINNEAPOLIS, MN.