IndividualActive
Hamida Mahamed, LADC
NPI 1013596279 · Substance Abuse Rehabilitation Facility · Minneapolis, MN
Provider details
- NPI number
- 1013596279
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Credential
- LADC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 108539 (MN)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
5941 Washburn Ave S
Minneapolis, MN 55410-2848
Phone: (763) 587-5513
Fax: (612) 259-8084
Approximate (ZIP-level) locationGet directions
Mailing address
5941 Washburn Ave S
Minneapolis, MN 55410-2848
Registry dates
- Enumerated
- 2021-04-05
- Last updated
- 2021-04-05
- Certified
- 2021-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.