Provider Demographics
NPI:1093502098
Name:SUNFLOWER THERAPY SERVICES LLC
Entity type:Organization
Organization Name:SUNFLOWER THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MADELEINE
Authorized Official - Middle Name:LOUISE CALHOON
Authorized Official - Last Name:BAILLIE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:651-403-3989
Mailing Address - Street 1:2855 ANTHONY LN S STE 201
Mailing Address - Street 2:
Mailing Address - City:ST ANTHONY
Mailing Address - State:MN
Mailing Address - Zip Code:55418-2637
Mailing Address - Country:US
Mailing Address - Phone:651-318-0001
Mailing Address - Fax:
Practice Address - Street 1:2855 ANTHONY LN S STE 201
Practice Address - Street 2:
Practice Address - City:ST ANTHONY
Practice Address - State:MN
Practice Address - Zip Code:55418-2637
Practice Address - Country:US
Practice Address - Phone:651-318-0001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health