Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cedar Healing Service LLC

Organization Community/Behavioral Health Agency · NPI 1720891203

Cedar Healing Service LLC is a Community/Behavioral Health Agency in Fridley, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

121 83rd Ave NE Apt 208
Fridley, MN 55432-1883
Phone: (612) 600-7985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Respite Care Taxonomy 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X

Record details

NPI number1720891203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derartu Ahmed — Owner · (612) 600-7985
Other names Cedar Healing Service Llc
NPI enumeratedJanuary 29, 2025
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing address121 83rd Ave Ne Apt 208, Fridley, MN 55432-1883

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