=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073441796
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DOUBLE HEALIX CONSULTING & PSYCHOLOGICAL SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/12/2026
-----------------------------------------------------
Last Update Date | 05/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7201 METRO BLVD STE 550
-----------------------------------------------------
City | EDINA
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55439-1353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-310-1503
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4120 PARKLAWN AVE APT 227
-----------------------------------------------------
City | EDINA
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55435-4691
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-310-1503
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENSED PSYCHOLOGIST AND OWNER
-----------------------------------------------------
Name | DR. MARIYA MIRZOYAN
-----------------------------------------------------
Credential | PSYD., LP
-----------------------------------------------------
Telephone | 612-889-0216
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC1900X
-----------------------------------------------------
Taxonomy Name | Counseling Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------