Organization · Type 2 NPI

Neuro Bloom Therapy

Community/Behavioral Health Agency · St. Louis Park, MN

NPI number 1104617133 Active

Practice location

4100 Excelsior Blvd Ste 50
St. Louis Park, MN 55416-4727

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1104617133

Neuro Bloom Therapy's National Provider Identifier is 1104617133, issued on May 16, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in St. Louis Park, MN. The record was last updated on May 12, 2026.