Provider Demographics
NPI:1376149336
Name:AURORA COUNSELING SERVICES
Entity type:Organization
Organization Name:AURORA COUNSELING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KOWSAR
Authorized Official - Middle Name:SHKISH
Authorized Official - Last Name:SHAFIE
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:952-652-7645
Mailing Address - Street 1:1505 SOUTHCROSS DR W STE 104
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-6609
Mailing Address - Country:US
Mailing Address - Phone:952-652-7645
Mailing Address - Fax:
Practice Address - Street 1:1505 SOUTHCROSS DR W STE 104
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-6609
Practice Address - Country:US
Practice Address - Phone:952-652-7645
Practice Address - Fax:952-241-1671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness