WAUNEKA SHUNYELL KELLUM
NPI 1821673518
Community/Behavioral Health in Brooklyn Park, MN

Active since March 14, 2021
7940 SIERRA PKWY, BROOKLYN PARK, MN 55444(763) 587-3804 Get Directions Write a Review

NPPES record last updated: March 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wauneka Shunyell Kellum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAUNEKA SHUNYELL KELLUM (NPI 1821673518) is an individual community/behavioral health provider in Brooklyn Park, Minnesota, licensed in Minnesota (1108075) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1821673518
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameWAUNEKA SHUNYELL KELLUM
Location Address7940 SIERRA PKWYBrooklyn Park, MN 55444-1955
Mailing Address7940 Sierra PkwyBrooklyn Park, MN 55444-1955 · (763) 587-3804
Sole ProprietorYes
Enumeration DateMarch 14, 2021
NPPES CertifiedMarch 14, 2021
NPI 1821673518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in MN · 1108075
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
7940 SIERRA PKWY, Brooklyn Park, MN 55444

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
7940 SIERRA PKWY
BROOKLYN PARK, MN 55444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wauneka Kellum's NPI number?

The NPI number for Wauneka Kellum is 1821673518. It was assigned to this individual provider in the NPPES registry on March 14, 2021.

Where is Wauneka Kellum located?

Wauneka Kellum practices at 7940 Sierra Pkwy, Brooklyn Park, MN 55444. The listed phone number is (763) 587-3804.

What is Wauneka Kellum's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Wauneka Kellum was last updated on March 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.