Provider Demographics
NPI:1265313357
Name:PERSAUD, SUNITA REKHA (LICSW)
Entity type:Individual
Prefix:
First Name:SUNITA
Middle Name:REKHA
Last Name:PERSAUD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EMH SERVICES 525 PORTLAND AVENUE SOUTH
Mailing Address - Street 2:MC 963
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1514
Mailing Address - Country:US
Mailing Address - Phone:612-348-2766
Mailing Address - Fax:
Practice Address - Street 1:EMH SERVICES 525 PORTLAND AVENUE SOUTH
Practice Address - Street 2:MC 963
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1514
Practice Address - Country:US
Practice Address - Phone:612-348-2766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN340541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical