Healthcare Provider Details

I. General information

NPI: 1073441796
Provider Name (Legal Business Name): DOUBLE HEALIX CONSULTING & PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 METRO BLVD STE 550
EDINA MN
55439-1353
US

IV. Provider business mailing address

4120 PARKLAWN AVE APT 227
EDINA MN
55435-4691
US

V. Phone/Fax

Practice location:
  • Phone: 612-310-1503
  • Fax:
Mailing address:
  • Phone: 612-310-1503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIYA MIRZOYAN
Title or Position: LICENSED PSYCHOLOGIST AND OWNER
Credential: PSYD., LP
Phone: 612-889-0216