ROY HADDAD LPCC LADC NPI 1508479700

NPI Information

NPI: 1508479700
Provider Name: ROY HADDAD, LPCC, LADC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
8120 PENN AVE S STE 500U
BLOOMINGTON, MN
ZIP 55431
Phone: (952) 245-0369
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Roy Haddad, LPCC, LADC is a counselor in Bloomington, MN. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Roy Haddad, LPCC, LADC NPI is 1508479700. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8120 PENN AVE S STE 500U
BLOOMINGTON, MN
ZIP 55431-367
Phone: (952) 245-0369
Fax: (952) 516-5282

The enumeration date for this NPI number is 8/26/2020 and was last updated on 7/19/2023.

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	101Y00000X	Counselor				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	000000	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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