Provider Demographics
NPI:1598488850
Name:SAKURA THERAPY SERVICES
Entity Type:Organization
Organization Name:SAKURA THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:TOKUDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-233-8966
Mailing Address - Street 1:280 QUEENAN AVE S
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:MN
Mailing Address - Zip Code:55043-9463
Mailing Address - Country:US
Mailing Address - Phone:651-233-8966
Mailing Address - Fax:
Practice Address - Street 1:7200 HUDSON BLVD N STE 111
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-7098
Practice Address - Country:US
Practice Address - Phone:651-448-2420
Practice Address - Fax:651-448-2425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty