Maryan Shukri Abdi | Bloomington, MN • PECOS Search

Maryan Shukri Abdi

Counselor

Behavioral Health & Social Service Providers

1701 American Blvd E Ste 19, Bloomington, MN 55425-1404

PECOS Enrollment

Based on the most recent information from CMS, provider Maryan Shukri Abdi does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1336027176
Provider Type
Individual
Full Name
Abdi, Maryan Shukri
Gender
Female

Sole Proprietor
No
Enumeration Date
8/21/2025
Last Updated
8/21/2025

Contact Information

Practice Location

1701 American Blvd E Ste 19, Bloomington, MN 55425-1404

Unlisted Fax

Mailing Location

1701 American Blvd E Ste 19, Bloomington, MN 55425-1404

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer