Tilah Care

NPI #1972348811 in Fridley, Minnesota

Provider Information

NPI Number: 1972348811
Entity Type: Organization
Organization Name: Tilah Care
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Jul 1, 2024
Last Updated: Mar 20, 2025

Practice Location

Address: 1250 MOORE LAKE DR E STE 200-I
City: Fridley
State: Minnesota
ZIP Code: 55432-5134
Phone: (612) 568-8188

Authorized Official

Name: LISA KINGSBURY, LPCC
Title: OWNER
Phone: (612) 723-7343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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