LEAH NAN SHANKS (NPI# 1619537537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619537537 |
| Entity Type | Individual |
| Full Name | LEAH NAN SHANKS |
| Credential | MS, LPC, NCC, LSC |
| Practice Address |
5851 Duluth St Ste 316 Golden Valley MN 55422-3957 |
| Practice Telephone | 6122028703 |
| Practice Fax Number | 6122411943 |
| Mailing Telephone | 6122028703 |
| Mailing Fax Number | 6122411943 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
02281 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700928405 | Leah Shanks | Counselor | 230 Venture Cir, Nashville, TN 37228-1604 | 2007-02-12 |
| Street Address |
5851 DULUTH ST STE 316 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55422-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538634704 | Lynn Marie Woo Mykytyn | Counselor | 5851 Duluth St Ste 316, Golden Valley, MN 55422-3957 | 2018-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538634704 | Lynn Marie Woo Mykytyn | Counselor | 5851 Duluth St Ste 316, Golden Valley, MN 55422-3957 | 2018-10-03 |
| 1164880217 | Patricia Lucas | Counselor | 225 Dakota Ave S, Golden Valley, MN 55416-1015 | 2016-02-03 |
| 1073903886 | Stephanie Untiedt, Phd, LLC | Counselor | 5101 Olson Memorial Hwy Ste 4007, Golden Valley, MN 55422-5164 | 2015-02-01 |
| 1053670059 | Adam Lee Gatzke | Counselor | 8441 Wayzata Blvd Ste 160, Golden Valley, MN 55426-1367 | 2012-05-10 |
| 1689968091 | Kristin Marie Baden | Counselor | 1533 Pennsylvania Ave N, Golden Valley, MN 55427-4009 | 2011-06-02 |
| 1699078402 | Esther Rachel Holtzer | Counselor | 5851 Duluth St Ste 306, Golden Valley, MN 55422-3957 | 2010-12-16 |
| 1902963275 | Timothy Martin Olson | Counselor | 1405 Lilac Dr N Ste 150, Golden Valley, MN 55422-4536 | 2007-01-03 |
| 1366443723 | Pathways Psychological Services, P.a. | Counselor | 7575 Golden Valley Rd, Suite 230, Golden Valley, MN 55427-4562 | 2005-08-09 |
| 1811513286 | Mary Rose Colucci | Counselor | 8401 Wayzata Blvd Ste 150, Golden Valley, MN 55426-1377 | 2020-06-22 |
| 1720614001 | William Kirkland I | Counselor | 8421 Wayzata Blvd Ste 250, Golden Valley, MN 55426-1382 | 2020-03-18 |
| Find all providers in GOLDEN VALLEY | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on LEAH NAN SHANKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.