Provider Demographics
NPI:1710074927
Name:DAN MAKI CONSULTING, INC.
Entity Type:Organization
Organization Name:DAN MAKI CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:MAKI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:651-497-9851
Mailing Address - Street 1:4655 NICOLS RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-3425
Mailing Address - Country:US
Mailing Address - Phone:651-497-9851
Mailing Address - Fax:651-405-0358
Practice Address - Street 1:4655 NICOLS RD
Practice Address - Street 2:SUITE 206
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-3425
Practice Address - Country:US
Practice Address - Phone:651-497-9851
Practice Address - Fax:651-405-0358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1183106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty