Organization
NEURO BLOOM THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFRAH MOHAMED (DIRECTOR)
(404) 932-9111
Entity
Organization
Contact information
Practice address
4100 EXCELSIOR BLVD STE 50, ST LOUIS PARK, MN 55416-4727
(612) 416-7520
Mailing address
4100 EXCELSIOR BLVD STE 50, ST LOUIS PARK, MN 55416-4727
(612) 416-7520
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/12/2026
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