Organization

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)

Code

103TC0700X

Primary Taxonomy

Yes

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

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