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GOOD LIFE MENTAL HALTH SERVICES LLC
NPI 1104595586
Clinic/Center - Adult Mental Health in Dayton, MN

Active since September 09, 2021
13406 PINEVIEW CT, DAYTON, MN 55327(612) 636-9268 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Good Life Mental Halth Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD LIFE MENTAL HALTH SERVICES LLC (NPI 1104595586) is a healthcare organization registered as an adult mental health in Dayton, Minnesota and active in the NPI registry since September 2021. The organization lists Dimitriy B Zelikman, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1104595586
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameGOOD LIFE MENTAL HALTH SERVICES LLC
Location Address13406 PINEVIEW CTDayton, MN 55327-4500
Mailing AddressPo Box 722793San Diego, CA 92172-2793 · (612) 636-9268 · Fax (612) 235-3392
Phone(612) 636-9268
Organization SubpartNo
Authorized OfficialDimitriy B ZelikmanClinical Social Worker · (612) 636-9268
Enumeration DateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1104595586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
13406 PINEVIEW CT, Dayton, MN 55327
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Other Identifiers 2

Medicaid1982123105MN
Other1912367954CA · Direct Pay

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Good Life Mental Halth Services LLC's NPI number?

The NPI number for Good Life Mental Halth Services LLC is 1104595586. It was assigned to this organization in the NPPES registry on September 9, 2021.

Where is Good Life Mental Halth Services LLC located?

Good Life Mental Halth Services LLC is located at 13406 Pineview Ct, Dayton, MN 55327. The listed phone number is (612) 636-9268.

What is Good Life Mental Halth Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Good Life Mental Halth Services LLC was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.