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Lake Minnetonka Counseling
Adolescent and Children Mental Health Clinic/Center in Long Lake, Minnesota
NPI 1578835310

Lake Minnetonka Counseling is an Adolescent and Children Mental Health Clinic/Center based in Minnetrista, MN and is specialized in Adolescent and Children Mental Health. Lake Minnetonka Counseling practices in Long Lake, MN. The NPI Number for Lake Minnetonka Counseling is 1578835310 and holds a License No. 18016 (Minnesota).

The current practice location address for Lake Minnetonka Counseling is 432 Mill St, Long Lake, MN and can be reached out via phone at 612-386-2311.

Location: 432 Mill St, Long Lake, MN, 55364-8315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578835310
Provider Name
Lake Minnetonka Counseling
Credential
Provider Entity Type
Organization
Address
432 Mill St, Long Lake, MN, 55364-8315
Phone Number
612-386-2311
Fax Number
Provider Enumeration Date
02/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
432 Mill St
City
Long Lake
State
Minnesota
Zip
55356-8304
Phone Number
612-386-2311
Fax Number
person
Provider Business Mailing Address Details
Address
432 Mill St
City
Long Lake
State
Minnesota
Zip
55356-8304
Phone Number
612-386-2311
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
18016 (Minnesota)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
18016 (Minnesota)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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