NEURO BLOOM THERAPY
NPI 1104617133
Community/Behavioral Health in St Louis Park, MN

Q: What is Neuro Bloom Therapy's NPI number?

The NPI number for Neuro Bloom Therapy is 1104617133. It was assigned to this organization in the NPPES registry on May 16, 2025.

Q: What is Neuro Bloom Therapy's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since May 16, 2025

4100 EXCELSIOR BLVD STE 50, ST LOUIS PARK, MN 55416(612) 416-7520 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 12, 2026, May 16, 2025 (2 updates tracked since 2025).

On this page

About Neuro Bloom Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEURO BLOOM THERAPY (NPI 1104617133) is a healthcare organization registered as a community/behavioral health in St Louis Park, Minnesota and active in the NPI registry since May 2025. The organization lists Efrah Mohamed, Director, as its authorized official.

NPPES Registry Identity

NPI1104617133

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameNEURO BLOOM THERAPY

Location Address4100 EXCELSIOR BLVD STE 50St Louis Park, MN 55416-4727

Mailing Address4100 Excelsior Blvd Ste 50St Louis Park, MN 55416-4727 · (612) 416-7520

Phone(612) 416-7520

Organization SubpartNo

Authorized OfficialEfrah MohamedDirector · (404) 932-9111

Enumeration DateMay 16, 2025

Last NPPES UpdateMay 12, 20262 updates tracked since enumeration

NPPES CertifiedMay 12, 2026

✔ NPI 1104617133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

4100 EXCELSIOR BLVD STE 50, St Louis Park, MN 55416

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neuro Bloom Therapy's NPI number?

The NPI number for Neuro Bloom Therapy is 1104617133. It was assigned to this organization in the NPPES registry on May 16, 2025.

Where is Neuro Bloom Therapy located?

Neuro Bloom Therapy is located at 4100 Excelsior Blvd Ste 50, St Louis Park, MN 55416. The listed phone number is (612) 416-7520.

What is Neuro Bloom Therapy's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Neuro Bloom Therapy was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.