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

Neuro Bloom Therapy

Organization Community/Behavioral Health Agency · NPI 1104617133

Neuro Bloom Therapy is a Community/Behavioral Health Agency in St Louis Park, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4100 Excelsior Blvd Ste 50
St Louis Park, MN 55416-4727
Phone: (612) 416-7520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1104617133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Efrah Mohamed — Director · (404) 932-9111
NPI enumeratedMay 16, 2025
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address4100 Excelsior Blvd Ste 50, St Louis Park, MN 55416-4727

Other providers in St Louis Park