NPI 1083120190

Lakes Counseling Services LLC

Organisation Case Management Agency Minneapolis, MN

Practice location

Address: 1518 E Lake St STE 209, Minneapolis, MN 55407-1849
Phone: (612) 412-3318
Mailing address: 1600 Broadway St NE, Minneapolis, MN 55413-2617

Authorised official

Name: Intisar O Hussein
Title: President
Phone: (612) 412-3318

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1083120190
Entity type: Organization
NPI issued: 27 Dec 2017
Record last updated: 16 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.