The Wellness Living Center, Llc | |
10088 199th St W Lakeville MN 55044-6266 | |
(612) 598-3891 | |
Not Available |
Full Name | The Wellness Living Center, Llc |
---|---|
Speciality | Psychologist |
Location | 10088 199th St W, Lakeville, Minnesota |
Authorized Official Name and Position | Kathryn L Cashman (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6125983891 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Wellness Living Center, Llc 10088 199th St W Lakeville MN 55044-6266 Ph: (612) 598-3891 | The Wellness Living Center, Llc 10088 199th St W Lakeville MN 55044-6266 Ph: (612) 598-3891 |
NPI Number | 1770801003 |
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Provider Enumeration Date | 05/11/2010 |
Last Update Date | 05/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770801003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 0089 (Minnesota) | Primary |
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