MEDICARE: SUNSET THERAPY WHEEL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1619775228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSET THERAPY WHEEL PLLC

Provider Business Mailing Address
First Line	:	2926 37 1/2 AVE S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-7053
Country	:	US
Telephone Number	:	701-200-9510
Fax Number	:

Provider Business Practice Location Address
First Line	:	2926 37 1/2 AVE S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-7053
Country	:	US
Telephone Number	:	701-200-9510
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARY K UONG-KAALE
Credential	:	LMFT
Telephone Number	:	701-200-9510

Provider Enumeration Date	:	03/07/2025
Last Update Date	:	04/23/2026

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