# EARLY INSIGHT THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Early Insight Therapy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174328033
- **Authorized official:** MUMTAZ HASSAN MOHAMED (OWNER/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (763) 346-0646

## Contact information

- **Practice address:** 8030 OLD CEDAR AVE S STE 100, BLOOMINGTON, MN 55425-1214
- **Practice address phone:** (763) 346-0646
- **Practice address fax:** (213) 867-8282
- **Mailing address:** 8030 OLD CEDAR AVE S STE 100, BLOOMINGTON, MN 55425-1214
- **Mailing address phone:** (763) 346-0646
- **Mailing address fax:** (213) 867-8282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2025
- **Last updated:** 03/17/2025