Organization
HOZHO PSYCHIATRY & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVINA DENEAL BISSONETTE MD (OWNER)
(612) 217-1737
Entity
Organization
Contact information
Practice address
860 BLUE GENTIAN RD STE 200, EAGAN, MN 55121-1567
(612) 619-0021
Mailing address
860 BLUE GENTIAN RD STE 200, EAGAN, MN 55121-1567
(612) 217-1737
(612) 457-0383
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
06/13/2025
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