Kesma Flame Lily LLC
NPI #1295212355 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1295212355
- Entity Type
- Organization
- Organization Name
- Kesma Flame Lily LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 22, 2018
- Last Updated
- Sep 6, 2025
Practice Location
- Address
- 7030 BROOKLYN BLVD STE 2047
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55429-1370
- Phone
- (612) 408-7733
Authorized Official
- Name
- PETRONELLAH THOKO BENSEN, LPCC
- Title
- CEO/CLINICAL DIRECTOR
- Phone
- (612) 408-7733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
| Home Health |
| Counselor - Mental Health — Mental Health |
| Clinic/Center - Migrant Health — Migrant Health |
| Community/Behavioral Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Early Intervention Provider Agency |
| Counselor - Professional — Professional |
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