SANKOFA GROUP NPI 1689005035

NPI Information

NPI: 1689005035
Provider Name: SANKOFA GROUP
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
690 CLEVELAND AVE S
690 CLEVELAND AVE SUITE 200
SAINT PAUL, MN
ZIP 55116
Phone: (651) 300-9605
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SANKOFA GROUP is a mental health counselor in Saint Paul, MN. SANKOFA GROUP NPI is 1689005035. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

690 CLEVELAND AVE S
690 CLEVELAND AVE SUITE 200
SAINT PAUL, MN
ZIP 55116-319
Phone: (651) 300-9605
Fax: (651) 789-8028

The provider's authorized official is Nathaniel W Hurse .
The authorized official title is Founder/ceo and has the following contact phone number (612) 203-9809.

The enumeration date for this NPI number is 12/11/2013 and was last updated on 3/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	22145	MINNESOTA	No
2	101YM0800X	Counselor	Mental Health	22145	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1689005035	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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