Organization Active NPI

Sacred Spiral Resources LLC

  • Community/Behavioral Health Agency
  • Eagan, MN
National Provider Identifier
1114170404
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1194 Issued in MN
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

Updated by the provider on Oct 30, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.