Organization
OPTIMA MENTAL HEALTH AND WELLNESS LLC
Active
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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