BRIGHT MINDS THERAPY NPI 1689422057

NPI Information

  • NPI: 1689422057
  • Provider Name: BRIGHT MINDS THERAPY
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • :
  • Address: 9420 4TH ST N
    LAKE ELMO, MN
    ZIP 55042
  • Phone: (612) 867-5647

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NPI Details

BRIGHT MINDS THERAPY is an adolescent and children mental health clinic center in Lake Elmo, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. BRIGHT MINDS THERAPY NPI is 1689422057. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

9420 4TH ST N
LAKE ELMO, MN
ZIP 55042-537
Phone: (612) 867-5647

The provider's authorized official is Mohammed Mohamed .
The authorized official title is Co-owner and has the following contact phone number (612) 867-5647.

The enumeration date for this NPI number is 5/9/2024 and was last updated on 1/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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