| Lakes Counseling Services | |
|
121 Hennepin Ave Minneapolis MN 55401-1802 | |
| (612) 412-3318 | |
| (612) 288-1805 |
| Full Name | Lakes Counseling Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 121 Hennepin Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Intisar O Hussein (PRESIDENT) |
| Authorized Official Contact | 6124122218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Counseling Services 121 Hennepin Ave Minneapolis MN 55401-1802 Ph: (612) 412-3318 | Lakes Counseling Services 121 Hennepin Ave Minneapolis MN 55401-1802 Ph: (612) 412-3318 |
| NPI Number | 1700359874 |
|---|---|
| Provider Enumeration Date | 01/10/2019 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700359874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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