| NPI | 1952180515 |
|---|---|
| Doing Business As | LEE THAO |
| Entity Type | Organization |
| Authorized Contact | LEE THAO Owner 612-314-3076 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2024-10-24 |