Thao, Lee

Thao, Lee is an sole proprietor health care provider with primary practice located at 2345 Rice St Ste 145 , Roseville MN 55113-3720. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Thao, Lee can be contacted via phone (612) 314-3076.

Contact Information

Primary practice address
2345 Rice St Ste 145 Roseville MN 55113-3720
Phone: (612) 314-3076
Fax: (651) 251-4889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305599 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X 3470 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3470 Minnesota

Profile Details

NPI number 1972012391
LBN Legal business name Thao, Lee
Credentials LPCC, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2017
Last updated Dec 9th, 2023 - about 3 years ago

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 1972012391 NPPES
Minnesota MEDICAID 1972012391

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