| Neuro Bloom Therapy | |
|
600 Twelve Oaks Center Dr Ste 218 Wayzata MN 55391-4548 | |
| (404) 932-9111 | |
| Not Available |
| Full Name | Neuro Bloom Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 Twelve Oaks Center Dr Ste 218, Wayzata, Minnesota |
| Authorized Official Name and Position | Efrah Mohamed (DIRECTOR) |
| Authorized Official Contact | 4049329111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Bloom Therapy 600 Twelve Oaks Center Dr Ste 218 Wayzata MN 55391-4548 Ph: (404) 932-9111 | Neuro Bloom Therapy 600 Twelve Oaks Center Dr Ste 218 Wayzata MN 55391-4548 Ph: (404) 932-9111 |
| NPI Number | 1104617133 |
|---|---|
| Provider Enumeration Date | 05/16/2025 |
| Last Update Date | 05/16/2025 |
| Certification Date | 05/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104617133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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