Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mind Revitalized Psychiatry PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1013827245

Mind Revitalized Psychiatry PLLC provides Psychiatric/Mental Health Nurse Practitioner services in Brooklyn Park, Minnesota. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7420 Unity Ave N Ste 307B
Brooklyn Park, MN 55443-3136
Phone: (609) 338-4325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1013827245
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abena Prempeh — Member-Manager · (609) 338-4325
NPI enumeratedSeptember 10, 2026
Last updated in NPPESSeptember 10, 2026
Certification dateSeptember 9, 2026
Mailing address7420 Unity Ave N Ste 307b, Brooklyn Park, MN 55443-3136

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