Sobriety High

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SOBRIETY HIGH

Practice address

12156 Nicollet Ave
Burnsville, MN 55337-1647

Phone

(651) 757-0535

Fax

(952) 224-0917

NPI assigned

Oct 17, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul McGlynn

Title

Executive Director

Phone

(651) 757-0535

Specialties & licenses 1

Addresses

Other names 1

• Sobriety High Charter School Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1174808570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12156 NICOLLET AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371647",
            "telephone_number": "651-757-0535",
            "fax_number": "952-224-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12156 NICOLLET AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371647",
            "telephone_number": "651-757-0535",
            "fax_number": "952-224-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBRIETY HIGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "MCGLYNN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-757-0535"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sobriety High Charter School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nakiya Smith
• Rosanna Smith, MA, LPC, LMHC
• Sean A Smith, OA
• Shakyra Smith
• Tyler Jordan Smith
• Jennifer Lauren Soffa, DPT
• Sofia Adult Foster Care
• Soka Care LLC
• Crystal Solis
• Tsion Solomon

• Local Education Agency (LEA) in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.