Healthcare Provider Details

I. General information

NPI: 1760737456
Provider Name (Legal Business Name): HUY TRONG LE LP, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 E 38TH ST
MINNEAPOLIS MN
55409-1363
US

IV. Provider business mailing address

345 E 38TH ST
MINNEAPOLIS MN
55409-1363
US

V. Phone/Fax

Practice location:
  • Phone: 612-243-1600
  • Fax: 612-767-4624
Mailing address:
  • Phone: 612-243-1600
  • Fax: 612-767-4624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP6752
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2487
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: