Organization · Type 2 NPI
Lake Minnetonka Counseling
Adolescent and Children Mental Health Clinic/Center · Long Lake, MN
Practice location
432 Mill St, Suite 201
Long Lake, MN 55356-8304
Mailing address
470 County Road 110 North
Minnetrista, MN 55364-8315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 18016 (MN) |
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | 18016 (MN) |
Adolescent and Children Mental Health Clinic/Center: 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.
About NPI 1578835310
Lake Minnetonka Counseling's National Provider Identifier is 1578835310, issued on Feb 8, 2012. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Long Lake, MN. The record was last updated on Feb 8, 2012.