Provider Demographics
NPI:1679370225
Name:GUULLEED, GULED MOHAMED
Entity type:Individual
Prefix:
First Name:GULED
Middle Name:MOHAMED
Last Name:GUULLEED
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2361 HIGHWAY 36 W STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55113-5599
Mailing Address - Country:US
Mailing Address - Phone:651-888-6695
Mailing Address - Fax:
Practice Address - Street 1:2361 HIGHWAY 36 W STE 200
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55113-5599
Practice Address - Country:US
Practice Address - Phone:651-888-6695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician