Provider Demographics
NPI:1891266599
Name:BAYANDALAI, UYANGA (PHD, LPCC, LADC)
Entity Type:Individual
Prefix:
First Name:UYANGA
Middle Name:
Last Name:BAYANDALAI
Suffix:
Gender:F
Credentials:PHD, LPCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4910 149TH ST N UNIT 3
Mailing Address - Street 2:
Mailing Address - City:HUGO
Mailing Address - State:MN
Mailing Address - Zip Code:55038-8598
Mailing Address - Country:US
Mailing Address - Phone:320-224-0602
Mailing Address - Fax:
Practice Address - Street 1:7108 2ND AVE
Practice Address - Street 2:
Practice Address - City:LINO LAKES
Practice Address - State:MN
Practice Address - Zip Code:55014-2900
Practice Address - Country:US
Practice Address - Phone:320-224-0602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-07
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLADC303995101YA0400X
MN2341101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty