Organization · Type 2 NPI

Sharon R Koukkari LLC

Community/Behavioral Health Agency · St. Louis Pk, MN

NPI number 1306170741 Active

Practice location

5354 Parkdale Dr, Suite 300
St. Louis Pk, MN 55416-1603

Call (512) 889-1692 Map

Fax (952) 546-1445

Mailing address

19320 81st Pl N
Maple Grove, MN 55311-1625

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XLP1444 (MN)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

25 other providers at this address

About NPI 1306170741

Sharon R Koukkari LLC's National Provider Identifier is 1306170741, issued on Oct 1, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in St. Louis Pk, MN. The record was last updated on Oct 1, 2009.