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GREAT LAKES ARMS PROGRAM
NPI 1508477514
Counselor - Professional in Minneapolis, MN

Active since August 12, 2020
2917 15TH AVE S, MINNEAPOLIS, MN 55407(612) 414-7739 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Arms Program NPPES

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

GREAT LAKES ARMS PROGRAM (NPI 1508477514) is a healthcare organization registered as a professional in Minneapolis, Minnesota and active in the NPI registry since August 2020. The organization lists Abdirahman Dhunkal, Board Member, as its authorized official.

NPPES Registry Identity

NPI1508477514
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameGREAT LAKES ARMS PROGRAM
Location Address2917 15TH AVE SMinneapolis, MN 55407-1427
Mailing Address2917 15th Ave SMinneapolis, MN 55407-1427 · (612) 414-7739
Phone(612) 414-7739
Organization SubpartNo
Authorized OfficialAbdirahman DhunkalBoard Member · (612) 414-7739
Enumeration DateAugust 12, 2020
NPPES CertifiedAugust 12, 2020
✔ NPI 1508477514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2917 15TH AVE S, Minneapolis, MN 55407
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HODAN MURSAL KHALIF
Behavior Technician
2917 15TH AVE S
MINNEAPOLIS, MN 55407
Hennepin County (612) 702-2230

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 Great Lakes Arms Program's NPI number?

The NPI number for Great Lakes Arms Program is 1508477514. It was assigned to this organization in the NPPES registry on August 12, 2020.

Where is Great Lakes Arms Program located?

Great Lakes Arms Program is located at 2917 15th Ave S, Minneapolis, MN 55407. The listed phone number is (612) 414-7739.

What is Great Lakes Arms Program's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Great Lakes Arms Program was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.