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

Southdale Therapy Center LLC

Organization Early Intervention Provider Agency · NPI 1891597233

Southdale Therapy Center LLC is an Early Intervention Provider Agency in Minneapolis, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
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

7101 York Ave S Ste 250
Minneapolis, MN 55435-4509
Phone: (612) 479-0327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1891597233
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yahye Mohamed — Organizer · (612) 479-0327
NPI enumeratedMarch 26, 2025
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address7101 York Ave S Ste 250, Minneapolis, MN 55435-4509

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