OrganizationActive
Good Life Mental Halth Services LLC
NPI 1104595586 · Adult Mental Health Clinic/Center · Dayton, MN
Provider details
- NPI number
- 1104595586
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dimitriy Zelikman, Clinical Social Worker(612) 636-9268
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
13406 Pineview Ct
Dayton, MN 55327-4500
Phone: (612) 636-9268
Street-level locationGet directions
Mailing address
Po Box 722793
San Diego, CA 92172-2793
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2021-09-09
- Certified
- 2021-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.