Organization
EARLY INSIGHT THERAPY LLC
Active
Other names
Early Insight Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MUMTAZ HASSAN MOHAMED (OWNER/EXECUTIVE DIRECTOR)
(763) 346-0646
Entity
Organization
Contact information
Practice address
8030 OLD CEDAR AVE S STE 100, BLOOMINGTON, MN 55425-1214
(763) 346-0646
(213) 867-8282
Mailing address
8030 OLD CEDAR AVE S STE 100, BLOOMINGTON, MN 55425-1214
(763) 346-0646
(213) 867-8282
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
03/17/2025
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