Healthcare Provider Details

I. General information

NPI: 1366361032
Provider Name (Legal Business Name): MEHR THERAPY AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5627 BIMINI DR
MINNETONKA MN
55343-4140
US

IV. Provider business mailing address

5627 BIMINI DR
MINNETONKA MN
55343-4140
US

V. Phone/Fax

Practice location:
  • Phone: 952-240-2103
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MEISHON BEHBOUDI
Title or Position: MANAGING MEMBER
Credential: PSYD, LP
Phone: 612-702-5469