Search › Minnesota › 1041C0700X
Mackenna Sullivan, LGSW
NPI 1053237339 · on the registry since 2026
Practice
- Address
- 4820 77th St W Ste 130
Edina, MN 55435 - Phone
- (651) 313-8080
- Organisation at this address
- Statera Health Pllc
Behavioral Medicine Associates, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota