Provider Demographics
NPI:1851039945
Name:SANA WELLNESS LLC
Entity Type:Organization
Organization Name:SANA WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:LOAIZA TANGARIFE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:612-770-1507
Mailing Address - Street 1:2101 EDINBROOK CT
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-3717
Mailing Address - Country:US
Mailing Address - Phone:612-770-1507
Mailing Address - Fax:
Practice Address - Street 1:5005 1/2 34TH AVE S UNIT 3
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-1542
Practice Address - Country:US
Practice Address - Phone:612-548-1543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)