Individual provider · Type 1 NPI

Amenti Theophilos

Mental Health Counselor · Lakeville, MN

NPI number 1275480451 Active

Practice location

20855 Kensington Blvd
Lakeville, MN 55044-7542

Call (507) 291-2662 Map

Fax (507) 205-2885

Mailing address

600 E 131st St
Burnsville, MN 55337-3804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1275480451

Amenti Theophilos's National Provider Identifier is 1275480451, issued on Mar 16, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakeville, MN. The record was last updated on Mar 16, 2026.