Healthcare Provider Details

I. General information

NPI: 1437981164
Provider Name (Legal Business Name): BTWINS MENTAL HEALTH PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2024
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12817 MAIN ST
ROGERS MN
55374-9474
US

IV. Provider business mailing address

21897 S DIAMOND LAKE RD STE 400
ROGERS MN
55374-4647
US

V. Phone/Fax

Practice location:
  • Phone: 612-488-6601
  • Fax: 612-488-6402
Mailing address:
  • Phone: 612-488-6601
  • Fax: 612-488-6402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAELINA AFI BAMAH
Title or Position: CEO
Credential: CNP, APRN, PMHNP-BC
Phone: 612-488-6601