AMENTI THEOPHILOS

LAKEVILLE, MN
NPI1275480451
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2026-03-16
Last Update Date2026-03-16
Business Address
AMENTI THEOPHILOS
20855 KENSINGTON BLVD
LAKEVILLE, MN 55044-7542
Phone number: 507-291-2662
Mailing Address
AMENTI THEOPHILOS
600 E 131ST ST
BURNSVILLE, MN 55337-3804
Phone number: