Lakes Wellness Center Llc
Clinical Psychologist in Minneapolis, MN(View on Map)
Legal Business Name
Lakes Wellness Center Llc
NPI Number
1841664190
NPI Type
Organization
Enumeration Date
11/24/2015
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
LP5667
Contact
Information
Purpose
Mailing
Location
Address
3248 STEVENS AVE
3248 STEVENS AVE
City
Minneapolis
Minneapolis
State
MN
MN
Postal Code
55408-3214
55408-3214
Country
US
US
Telephone Number
(813) 401-7624
(813) 401-7624
Authorized Official
Name
Dr. Anisa Mohammed
Title or Position
LICENSED PSYCHOLOGIST
Telephone Number
(813) 401-7624
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/24/2015
Provider Address
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