Bensen, Petronellah Thoko

Bensen, Petronellah Thoko is an individual health care provider with primary practice located at 7030 Brooklyn Blvd , Brooklyn Center MN 55429-1370. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bensen, Petronellah Thoko can be contacted via phone (763) 438-5529.

Contact Information

Primary practice address
7030 Brooklyn Blvd Brooklyn Center MN 55429-1370
Phone: (763) 438-5529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CC1891 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1891 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC1891 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X CC01891 Minnesota

Profile Details

NPI number 1538649595
LBN Legal business name Bensen, Petronellah Thoko
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2018
Last updated Sep 6th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538649595 NPPES
Minnesota Other 874647200 MEDICARE
Minnesota Other 000000 MEDICARE
Minnesota MEDICAID 674492400 MEDICARE

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