Healthcare Provider Details

I. General information

NPI: 1518889641
Provider Name (Legal Business Name): SARA ELMEKKAWY MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 N 1ST ST STE 234
MINNEAPOLIS MN
55401-1145
US

IV. Provider business mailing address

3037 CRYSTAL ROCK RD
NAPERVILLE IL
60564-8144
US

V. Phone/Fax

Practice location:
  • Phone: 612-234-2467
  • Fax:
Mailing address:
  • Phone: 630-802-3308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: