Organization · Type 2 NPI

Lakeside Family Therapy Services Ltd

Mental Health Clinic/Center (Including Community Mental Health Center) · Racine, WI

NPI number 1407998719 Active

Practice location

4810 Northwestern Ave
Racine, WI 53406

Fax (262) 637-9995

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

13 other providers at this address

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About NPI 1407998719

Lakeside Family Therapy Services Ltd's National Provider Identifier is 1407998719, issued on Feb 13, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Racine, WI. The record was last updated on Aug 6, 2021.