Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Collaboration for Psychological Wellness, LLC

Organization Clinical Psychologist · NPI 1831722594

Collaboration for Psychological Wellness, LLC is a Clinical Psychologist in Burnsville, Minnesota. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12000 Portland Ave Ste 120
Burnsville, MN 55337-4469
Phone: (612) 276-2462
Fax: (612) 246-3682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1831722594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Shah — Owner/Chief Executive Officer · (612) 276-2462
NPI enumeratedFebruary 20, 2020
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020
Mailing address12000 Portland Ave Ste 120, Burnsville, MN 55337-4469

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