Healthcare Provider Details

I. General information

NPI: 1831004738
Provider Name (Legal Business Name): RUBY SKY THERAPY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 1ST ST E
JORDAN MN
55352-1503
US

IV. Provider business mailing address

221 1ST ST E
JORDAN MN
55352-1503
US

V. Phone/Fax

Practice location:
  • Phone: 612-227-9729
  • Fax:
Mailing address:
  • Phone: 612-227-9729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. DAWN MARIE BUNKE
Title or Position: OWNER, THERAPIST
Credential: LPCC, LADC
Phone: 612-227-9729