MRS. PETRONELLAH THOKO THOMAS-SHANOBI LPCC NPI 1538649595

NPI Information

NPI: 1538649595
Provider Name: MRS. PETRONELLAH THOKO THOMAS-SHANOBI, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2800 FREEWAY BLVD
MINNEAPOLIS, MN
ZIP 55430
Phone: (763) 438-5529
Get Directions

MRS. Petronellah Thoko Thomas-shanobi, LPCC is a professional counselor in Minneapolis, MN. MRS. Petronellah Thoko Thomas-shanobi, LPCC NPI is 1538649595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2800 FREEWAY BLVD
MINNEAPOLIS, MN
ZIP 55430-751
Phone: (763) 438-5529

The enumeration date for this NPI number is 8/20/2018 and was last updated on 12/30/2020.

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	101YM0800X	Counselor	Mental Health	1891	MINNESOTA	No
2	101YP2500X	Counselor	Professional	CC01891	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	000000	OTHER	MINNESOTA	BEHAVIORAL HEALTH

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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