Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bianca Lee Bodine-Haag, LADC

Individual provider Mental Health Counselor · NPI 1245996149

Bianca Lee Bodine-Haag, LADC is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1409 Willow St Ste 400
Minneapolis, MN 55403-3251
Phone: (612) 445-0225
Fax: (612) 445-0112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC03877 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 305716 (MN)

Record details

NPI number1245996149
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC
Sole proprietorYes
NPI enumeratedNovember 15, 2021
Last updated in NPPESAugust 25, 2023
Certification dateJune 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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