Individual
DR. BRAVADA MAE GARRETT-AKINSANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP, LICSW
Contact information
Practice address
1501 XERXES AVE N, MINNEAPOLIS, MN 55411-2851
(763) 522-0100
Mailing address
1501 XERXES AVE N, MINNEAPOLIS, MN 55411-2851
(753) 522-0100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4105
MN
1041C0700X
Clinical Social Worker
25104
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239323900
—
MN
01
—
426S3GA
BLUE CROSS BLUE SHIELD
MN
01
—
6168492
UNITED BEHAVIORAL HEALTH
MN
01
—
HP29938
HEALTHPARTNERS
MN
Enumeration date
10/26/2006
Last updated
01/30/2026
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