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

Transform Lives LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1790501872

Transform Lives LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Fridley, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1250 Moore Lake Dr E Ste 150
Fridley, MN 55432-5135
Phone: (763) 203-4974
Show map & directions

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

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1790501872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yusuf Mohamed — Ceo/Owner · (763) 203-4974
NPI enumeratedNovember 23, 2024
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address1250 Moore Lake Dr E Ste 150, Fridley, MN 55432-5135