Organization
NYSTROM & ASSOCIATES, LTD
Active
Other names
Professional Family Based Division, Sagent Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANN EIDEN (VP OF CORPORATE SERVICES)
(651) 379-1750
Entity
Organization
Contact information
Practice address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9253
(651) 631-8789
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77519900
—
MN
Enumeration date
10/05/2006
Last updated
10/21/2025
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