# SKY BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sky Behavioral Health LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487419909
- **Authorized official:** FATUMA FARAH LPCC (PROGRAM MANAGER)
- **Authorized official phone:** (612) 401-8054

## Contact information

- **Practice address:** 401 E BURNSVILLE PKWY, BURNSVILLE, MN 55337-2868
- **Practice address phone:** (612) 401-8054
- **Mailing address:** 401 E BURNSVILLE PKWY APT 335, BURNSVILLE, MN 55337-2858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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