MEDICARE: UYANGA BAYANDALAI PHD, LPCC, LADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LADC303995	MN
2	101YP2500X	Professional Counselor	2341	MN

General Provider Information

NPI Number	:	1891266599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UYANGA BAYANDALAI PHD, LPCC, LADC

Provider Business Mailing Address
First Line	:	7108 2ND AVE
Second Line	:
City	:	LINO LAKES
State	:	MN
Zip	:	55014-2900
Country	:	US
Telephone Number	:	320-224-0602
Fax Number	:

Provider Business Practice Location Address
First Line	:	7108 2ND AVE
Second Line	:
City	:	LINO LAKES
State	:	MN
Zip	:	55014-2900
Country	:	US
Telephone Number	:	320-224-0602
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2018
Last Update Date	:	04/10/2026

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