Provider Demographics
NPI:1972393544
Name:LAHAI, YEAWAH BERNADETTE LUCY
Entity type:Individual
Prefix:
First Name:YEAWAH
Middle Name:BERNADETTE LUCY
Last Name:LAHAI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:YEWAH
Other - Middle Name:LAHAI
Other - Last Name:KARGOBAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:421 VAN BUREN AVE N APT 116
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-8160
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1517 HIGHWAY 13 E
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-2917
Practice Address - Country:US
Practice Address - Phone:612-756-9107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician