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Organization

OPTIMA MENTAL HEALTH AND WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MERCY SHWEMBOM PMHNP-BC (OWNER/CLINICIAN)
(320) 447-4792
Entity
Organization

Contact information

Practice address
801 TWELVE OAKS CENTER DR STE 820A, WAYZATA, MN 55391-4640
(320) 447-4792
Mailing address
801 TWELVE OAKS CENTER DR STE 820A, WAYZATA, MN 55391-4640

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
05/08/2025
Last updated
05/08/2025
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