Healthcare Provider Details

I. General information

NPI: 1740197631
Provider Name (Legal Business Name): BECKY CK GALLATI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 7TH AVE E
NORTH SAINT PAUL MN
55109-3103
US

IV. Provider business mailing address

2600 7TH AVE E
NORTH ST PAUL MN
55109-3103
US

V. Phone/Fax

Practice location:
  • Phone: 651-399-3470
  • Fax:
Mailing address:
  • Phone: 651-399-3470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number1072761
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: