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CRYSTAL WELLNESS CENTER LLC
NPI 1194359547
Clinic/Center - Adult Mental Health in Bloomington, MN

Active since February 25, 2020
9001 E BLOOMINGTON FWY STE 147, BLOOMINGTON, MN 55420(952) 658-6845 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2024, Dec 13, 2021, Sep 15, 2021 and 2 more (5 updates tracked since 2020).

About Crystal Wellness Center Llc NPPES

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

CRYSTAL WELLNESS CENTER LLC (NPI 1194359547) is a healthcare organization registered as an adult mental health in Bloomington, Minnesota and active in the NPI registry since February 2020. The organization lists Ahmedweli Farah, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1194359547
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCRYSTAL WELLNESS CENTER LLC
Location Address9001 E BLOOMINGTON FWY STE 147Bloomington, MN 55420-3450
Mailing Address9001 E Bloomington Fwy Ste 147Bloomington, MN 55420-3450 · (952) 658-6845 · Fax (612) 295-0381
Phone(952) 658-6845
Organization SubpartNo
Authorized OfficialAhmedweli FarahOwner/administrator · (952) 658-6845
Enumeration DateFebruary 25, 2020
Last NPPES UpdateJuly 17, 20245 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1194359547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
9001 E BLOOMINGTON FWY STE 147, Bloomington, MN 55420
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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 Crystal Wellness Center LLC's NPI number?

The NPI number for Crystal Wellness Center LLC is 1194359547. It was assigned to this organization in the NPPES registry on February 25, 2020.

Where is Crystal Wellness Center LLC located?

Crystal Wellness Center LLC is located at 9001 E Bloomington Fwy Ste 147, Bloomington, MN 55420. The listed phone number is (952) 658-6845.

What is Crystal Wellness Center 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 Crystal Wellness Center LLC was last updated on July 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.