Organization
SANKOFA GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL W HURSE LICSW/LADC/SAP (FOUNDER/CEO)
(612) 203-9809
Entity
Organization
Contact information
Practice address
690 CLEVELAND AVE S, 690 CLEVELAND AVE SUITE 200, SAINT PAUL, MN 55116-1319
(651) 300-9605
(651) 789-8028
Mailing address
690 CLEVELAND AVE S, 690 S CLEVELAND AVE SUITE 150 ST.PAUL, MN, SAINT PAUL, MN 55116-1319
(651) 493-2856
(866) 335-3963
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
22145
MN
1041C0700X
Clinical Social Worker
22145
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689005035
—
MN
Enumeration date
12/11/2013
Last updated
03/24/2017
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