Mytherapymn LLC
Clinic/Center, Adolescent and Children Mental Health in Minneapolis, MN. Organization (NPI-2).
Details
- NPI
- 1932923331
- Entity type
- Organization (NPI-2)
- Legal business name
- Mytherapymn LLC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2024
- Certification date
- Nov 12, 2024
- Last updated
- Nov 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
Practice location
10800 Lyndale Ave S Ste 210Minneapolis, MN 55420-5689
Phone 763-328-6268
Mailing address
10800 Lyndale Ave S Ste 210Minneapolis, MN 55420-5689
Authorized official
Zakaria Karie
Co Owner
7633286268
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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