Theophilos, Dean Theodore

Theophilos, Dean Theodore is an individual health care provider with primary practice located at 2324 University Ave W Ste 100 , Saint Paul MN 55114-1854. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Theophilos, Dean Theodore can be contacted via phone (651) 641-1009.

Contact Information

Primary practice address
2324 University Ave W Ste 100 Saint Paul MN 55114-1854
Phone: (651) 641-1009
Fax: (651) 789-5677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 303750 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.012732 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC01465 Minnesota

Profile Details

NPI number 1497292684
LBN Legal business name Theophilos, Dean Theodore
Credentials LPCC, LCPC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2017
Last updated Jul 13th, 2022 - about 4 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.

Request for update

Popular Providers