LAWRENCE LOWELL SEDLACEK MA LADC NPI 1093288987

NPI Information

NPI: 1093288987
Provider Name: LAWRENCE LOWELL SEDLACEK, MA LADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
2785 WHITE BEAR AVE N STE 403
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 395-5787
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Lawrence Lowell Sedlacek, MA LADC is a mental health counselor in Maplewood, MN. Lawrence Lowell Sedlacek, MA LADC NPI is 1093288987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2785 WHITE BEAR AVE N STE 403
MAPLEWOOD, MN
ZIP 55109-327
Phone: (651) 395-5787
Fax: (651) 647-9147

The NPI 1093288987 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/3/2019 and was last updated on 5/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	305266	MINNESOTA	No
2	101YM0800X	Counselor	Mental Health	CC03838	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	205557491	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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