Essential Mind Healthcare LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ESSENTIAL MIND HEALTHCARE LLC

Practice address

5775 Wayzata Blvd Ste 700-3014
Saint Louis Park, MN 55416-1222

Phone

(612) 305-8045

NPI assigned

Nov 14, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Florence Gbadehan

Title

Owner

Phone

(612) 305-8045

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1588488563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD STE 700-3014",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161222",
            "telephone_number": "612-305-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD STE 700-3014",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161222",
            "telephone_number": "612-305-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL MIND HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "GBADEHAN",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-305-8045"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Ararso Ereso, MNDOT 385639
• Mary W Ericksen, RD LD
• Savannah Ericksen
• Gerome Villamor Escota, MD
• Paul Eshleman, CRNA
• Estates at St Louis Park LLC
• Alicia Monet Estrellado
• Ashley Estrem, D.O.
• Michelle Mary Eul, NP
• Duane E Evans, DDS

• Psychiatric/Mental Health Nurse Practitioner in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.