Healthcare Provider Details

I. General information

NPI: 1477101483
Provider Name (Legal Business Name): MINNESOTA MENTAL HEALTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 MARKET PLACE DR STE 3
EDEN PRAIRIE MN
55344-3636
US

IV. Provider business mailing address

7550 MARKET PLACE DR STE 3
EDEN PRAIRIE MN
55344-3636
US

V. Phone/Fax

Practice location:
  • Phone: 651-299-0044
  • Fax: 612-278-2312
Mailing address:
  • Phone: 651-299-0044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SAFIYA ALI SHEIKH-MOHAMED
Title or Position: MENTAL HEALTH THERAPIST
Credential: LICSW
Phone: 248-595-3192