Healthcare Provider Details

I. General information

NPI: 1598687311
Provider Name (Legal Business Name): CONTRAST MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 WAYZATA BLVD FL 3
WAYZATA MN
55391-2017
US

IV. Provider business mailing address

12621 N TATUM BLVD # 868
PHOENIX AZ
85032-7710
US

V. Phone/Fax

Practice location:
  • Phone: 612-217-2101
  • Fax:
Mailing address:
  • Phone: 612-217-2101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SARA PIRNESS
Title or Position: OWNER, PROVIDER
Credential: PMHNP
Phone: 612-217-2101