Provider Demographics
NPI:1710788096
Name:ABBOT ADVOCATES LLC
Entity type:Organization
Organization Name:ABBOT ADVOCATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRASHID
Authorized Official - Middle Name:
Authorized Official - Last Name:HAJI ELMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-812-7405
Mailing Address - Street 1:1405 LILAC DR N STE 250A
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4535
Mailing Address - Country:US
Mailing Address - Phone:612-812-7405
Mailing Address - Fax:
Practice Address - Street 1:1405 LILAC DR N STE 250A
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-4535
Practice Address - Country:US
Practice Address - Phone:612-812-7405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health