| Life And Light Llc | |
|
5851 Cedar Lake Rd S Ste 201 Saint Louis Park MN 55416-1481 | |
| (612) 399-9996 | |
| Not Available |
| Full Name | Life And Light Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5851 Cedar Lake Rd S Ste 201, Saint Louis Park, Minnesota |
| Authorized Official Name and Position | Nikhil Kaistha (OWNER, LPCC) |
| Authorized Official Contact | 6123999996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life And Light Llc 3700 Wooddale Ave S Unit 18 St Louis Park MN 55416-5162 Ph: (612) 399-9996 | Life And Light Llc 5851 Cedar Lake Rd S Ste 201 Saint Louis Park MN 55416-1481 Ph: (612) 399-9996 |
| NPI Number | 1942824677 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 06/01/2024 |
| Certification Date | 06/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942824677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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