Provider Demographics
NPI:1437883915
Name:PLANTE, SYDNEY LYNETTE (LADC, LPCC)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:LYNETTE
Last Name:PLANTE
Suffix:
Gender:F
Credentials:LADC, LPCC
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:LYNETTE
Other - Last Name:STALLINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11628 PINERIDGE WAY N
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:MN
Mailing Address - Zip Code:55327-2312
Mailing Address - Country:US
Mailing Address - Phone:763-213-4276
Mailing Address - Fax:
Practice Address - Street 1:2118 BLAISDELL AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2415
Practice Address - Country:US
Practice Address - Phone:612-286-0677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN305333101YA0400X
MN3294101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)