Organization · Type 2 NPI

Lakes Center for Youth and Families

Mental Health Counselor · Forest Lake, MN

NPI number 1982842167 Active

Practice location

20 N Lake Street, Suite 103
Forest Lake, MN 55025

Fax (651) 464-3687

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	1179 (MN)
Community/Behavioral Health Agency	251S00000X	1946 (MN)

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NPI record

NPI: 1982842167
Entity type: Organization (Type 2)
Issued: Jan 27, 2009
Last updated: Apr 24, 2020
Status: Active

Other names

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Lakes Area Youth Service Bureau · former legal business name
Lakes Area Youth Service Bureau · former legal business name

Authorized official

Dr. Linda M Madsen
Executive Director
(651) 464-3685

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About NPI 1982842167

Lakes Center for Youth and Families's National Provider Identifier is 1982842167, issued on Jan 27, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Forest Lake, MN. The record was last updated on Apr 24, 2020.