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Organization

BRAKINS CONSULTING & PSYCHOLOGICAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRAVADA MAE GARRETT-AKINSANYA PH.D. (CLINICAL PSYCHOLOGIST)
(612) 302-3140
Entity
Organization

Contact information

Practice address
2100 PLYMOUTH AVE N, SUITE #245, MINNEAPOLIS, MN 55411-3675
(612) 302-3140
(612) 436-5412
Mailing address
13805 60TH AVE N, PLYMOUTH, MN 55446-3583
(612) 839-1449
(763) 550-9398

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4105
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033294962
PERSON NPI #
MN
01
113550
UCARE (BHP)
MN
05
239323900
MN
01
42653GA
GROUP- BCBS
MN
01
6168492
UNITED BEHAVIORAL HEALTH
MN
01
990991046885
PREFERRED ONE
MN
01
HP29938
HEALTHPARTNERS
MN
Enumeration date
05/07/2007
Last updated
09/24/2015
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