Provider Demographics
NPI:1144022310
Name:EXPRESS MENTAL HEALTH
Entity type:Organization
Organization Name:EXPRESS MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABDIWAHID
Authorized Official - Middle Name:HUSSEIN
Authorized Official - Last Name:BULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-735-6743
Mailing Address - Street 1:1865 OLD HUDSON RD UNIT B2
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55119-4308
Mailing Address - Country:US
Mailing Address - Phone:612-735-6743
Mailing Address - Fax:
Practice Address - Street 1:1865 OLD HUDSON RD UNIT B2
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55119-4308
Practice Address - Country:US
Practice Address - Phone:612-735-6743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health