Active NPI
Sacred Spiral Resources LLC
- Community/Behavioral Health Agency
- Eagan, MN
National Provider Identifier
1114170404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1194
- Legal business name
- SACRED SPIRAL RESOURCES LLC
- Practice address
- 4141 Old Sibley Memorial Hwy
Eagan, MN 55122-1996 - Phone
- (651) 686-8818
- Fax
- (651) 686-5560
- NPI assigned
- Oct 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nancy Nutting Cohen, LMFT
- Title
- Owner
- Phone
- (651) 686-8818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1194 | MN | Primary |
Addresses
Primary practice location
4141 Old Sibley Memorial Hwy
Eagan, MN 55122-1996
Mailing address
4141 Old Sibley Memorial Hwy
Eagan, MN 55122-1996
Phone (651) 686-8818
Other names 1
- Nancy N. Cohen
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225324800000",
"number": "1114170404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 OLD SIBLEY MEMORIAL HWY",
"city": "EAGAN",
"state": "MN",
"postal_code": "551221996",
"telephone_number": "651-686-8818",
"fax_number": "651-686-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 OLD SIBLEY MEMORIAL HWY",
"city": "EAGAN",
"state": "MN",
"postal_code": "551221996",
"telephone_number": "651-686-8818",
"fax_number": "651-686-5560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRED SPIRAL RESOURCES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-30",
"last_updated": "2008-10-30",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "NUTTING",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-686-8818",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "1194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nancy N. Cohen",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.