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

Lavish Divine Services Inc

Organization Adult Mental Health Clinic/Center · NPI 1588308639

Lavish Divine Services Inc is an Adult Mental Health Clinic/Center in St Louis Park, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7204 W 27th St Ste 213
St Louis Park, MN 55426-3113
Phone: (952) 297-2348
Fax: (651) 780-7085
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1588308639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fardosa Hassan — Owner · (952) 297-2348
NPI enumeratedApril 25, 2022
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022
Mailing address7204 W 27th St Ste 213, St Louis Park, MN 55426-3113

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