Healthcare Provider Details

I. General information

NPI: 1841126042
Provider Name (Legal Business Name): SOUND MIND THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 WASHINGTON AVE N
MINNEAPOLIS MN
55401-1619
US

IV. Provider business mailing address

4115 PERRY AVE N
ROBBINSDALE MN
55422-1710
US

V. Phone/Fax

Practice location:
  • Phone: 612-251-7995
  • Fax:
Mailing address:
  • Phone: 612-251-7995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TEIA KOPARI
Title or Position: OWNER
Credential: LICSW
Phone: 612-251-7995