Organization
HELENA FAMILY SUPPORT
Active
Other names
Helena Family Support
Organization subpart
No
Provider details
NPI number
Authorized official
JANE SHARKEY LMFT (DIRECTOR)
(952) 484-4885
Entity
Organization
Contact information
Practice address
5301 E RIVER RD STE 110, FRIDLEY, MN 55421-3778
(763) 432-3926
(763) 432-3926
Mailing address
13537 WINDYHILL RD, MINNETONKA, MN 55305-1011
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1111
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031031005
—
MN
05
—
108336
—
MI
05
—
131879
—
MN
01
—
144M8HE
BLUE CROSS BLUE SHIELD
MN
05
—
206947400
—
MN
Enumeration date
11/01/2006
Last updated
03/17/2018
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