DANIELA ALEJANDRA BONILLA BERMUDEZ LADC
NPI 1407210784
Counselor - Addiction (Substance Use Disorder) in St Louis Park, MN

Q: What is Daniela Bonilla Bermudez's NPI number?

The NPI number for Daniela Bonilla Bermudez is 1407210784. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Q: What is Daniela Bonilla Bermudez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since April 12, 2016

6200 EXCELSIOR BLVD STE 203, ST LOUIS PARK, MN 55416(952) 548-9354(952) 925-3264 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Daniela Alejandra Bonilla Bermudez Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIELA ALEJANDRA BONILLA BERMUDEZ LADC (NPI 1407210784) is an individual addiction (substance use disorder) provider in St Louis Park, Minnesota, licensed in Minnesota (304119) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1407210784

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameDANIELA ALEJANDRA BONILLA BERMUDEZCredential: LADC

Location Address6200 EXCELSIOR BLVD STE 203St Louis Park, MN 55416-2734

Mailing Address6200 Excelsior Blvd Ste 203St Louis Park, MN 55416-2734 · (952) 548-9354 · Fax (952) 925-3264

Phone(952) 548-9354

Fax(952) 925-3264

Sole ProprietorNo

Enumeration DateApril 12, 2016

✔ NPI 1407210784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MN · 304119

6200 EXCELSIOR BLVD STE 203, St Louis Park, MN 55416

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT HERBERT SUTTON

Counselor (Addiction (Substance Use Disorder))

6200 EXCELSIOR BLVD STE 203
ST LOUIS PARK, MN 55416

Hennepin County (952) 548-9340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniela Bonilla Bermudez's NPI number?

The NPI number for Daniela Bonilla Bermudez is 1407210784. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Daniela Bonilla Bermudez located?

Daniela Bonilla Bermudez practices at 6200 Excelsior Blvd Ste 203, St Louis Park, MN 55416. The listed phone number is (952) 548-9354.

What is Daniela Bonilla Bermudez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Daniela Bonilla Bermudez was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.