Organization Active NPI

Unbound Therapy Resources

  • Community/Behavioral Health Agency
  • Edina, MN
National Provider Identifier
1821241761
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
15000 Issued in MN
Legal business name
UNBOUND THERAPY RESOURCES
Practice address
7400 Metro Blvd Ste 413
Edina, MN 55439-2326
Phone
(612) 810-2605
NPI assigned
Oct 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Mr. Resmaa Menakem, MSW,LICSW
Title
Owner
Phone
(612) 810-2605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 15000 MN Primary

Addresses

Primary practice location

7400 Metro Blvd Ste 413
Edina, MN 55439-2326

Mailing address

1101 Humboldt Ave N
Minneapolis, MN 55411-4011
Phone (612) 810-2605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1821241761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HUMBOLDT AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554114011",
            "telephone_number": "612-810-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 413",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392326",
            "telephone_number": "612-810-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNBOUND THERAPY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "MENAKEM",
        "authorized_official_first_name": "RESMAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-810-2605",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW,LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "15000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.