Provider Demographics
NPI:1093183923
Name:RYKS, KAULA MARIE (MA, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:KAULA
Middle Name:MARIE
Last Name:RYKS
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11010 PRAIRIE LAKES DR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3884
Mailing Address - Country:US
Mailing Address - Phone:952-746-2522
Mailing Address - Fax:952-746-0887
Practice Address - Street 1:1900 SILVER LAKE ROAD NW
Practice Address - Street 2:SUITE 110
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112
Practice Address - Country:US
Practice Address - Phone:651-379-1718
Practice Address - Fax:651-379-1738
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN01052101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional