Healthcare Provider Details

I. General information

NPI: 1285409573
Provider Name (Legal Business Name): ARYKA NYCOLE SANDERS-DAWKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2023
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 W 109TH ST
BLOOMINGTON MN
55438-2374
US

IV. Provider business mailing address

1101 E 78TH ST STE 100
BLOOMINGTON MN
55420-1402
US

V. Phone/Fax

Practice location:
  • Phone: 612-223-8898
  • Fax:
Mailing address:
  • Phone: 952-854-5034
  • Fax: 952-854-5363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: