Healthcare Provider Details

I. General information

NPI: 1194656942
Provider Name (Legal Business Name): BRAIN MIND CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8120 PENN AVE S STE 454
BLOOMINGTON MN
55431-1322
US

IV. Provider business mailing address

8120 LOWER 129TH CT
APPLE VALLEY MN
55124-9746
US

V. Phone/Fax

Practice location:
  • Phone: 612-564-9948
  • Fax:
Mailing address:
  • Phone: 612-564-9947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: FRANCES BIEGANEK
Title or Position: OWNER
Credential: LP
Phone: 612-564-9947