OrganizationActive
Firstline Therapeutic Services LLC
NPI 1013688951 · Clinic/Center · Fridley, MN
Provider details
- NPI number
- 1013688951
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ayanle Abdihoosh, Owner(612) 479-2085
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1250 Moore Lake Dr E Ste 205e
Fridley, MN 55432-5176
Phone: (612) 479-2085
Approximate (ZIP-level) locationGet directions
Mailing address
1250 Moore Lake Dr E Ste 205e
Fridley, MN 55432-5176
Registry dates
- Enumerated
- 2021-09-21
- Last updated
- 2023-04-13
- Certified
- 2023-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.