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Organization
SKY BEHAVIORAL HEALTH LLC
Active
Organization
SKY BEHAVIORAL HEALTH LLC
Active
Other names
Sky Behavioral Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FATUMA FARAH LPCC (PROGRAM MANAGER)
(612) 401-8054
Entity
Organization
Contact information
Practice address
401 E BURNSVILLE PKWY, BURNSVILLE, MN 55337-2868
(612) 401-8054
Mailing address
401 E BURNSVILLE PKWY APT 335, BURNSVILLE, MN 55337-2858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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