Provider Demographics
NPI:1245036110
Name:CBMD, PLLC
Entity type:Organization
Organization Name:CBMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARSON
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:612-351-1994
Mailing Address - Street 1:7201 METRO BLVD, SUITE 550
Mailing Address - Street 2:C/O THERAPY SUITES
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-1353
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7201 METRO BLVD, SUITE 550
Practice Address - Street 2:C/O THERAPY SUITES
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-1353
Practice Address - Country:US
Practice Address - Phone:612-351-1994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health