Joshua M Kent, Licsw

LBN: Lacuna For Integrative Therapies
Joshua M Kent, Licsw is an health care organization with primary practice located at 5009 Excelsior Blvd Suite 134, St. Louis Park MN 55416. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Cognitive & Behavioral is the primary health care specialty. Lacuna For Integrative Therapies can be contacted via phone (612) 360-5685, or through Kent, Joshua M via phone (651) 264-0260.

Contact Information

Primary practice address
5009 Excelsior Blvd Suite 134 St. Louis Park MN 55416
Phone: (612) 360-5685
Fax: (952) 285-4103
Website:
Map and Directions
Authorized official contact:
Name: Kent, Joshua M
Phone: (651) 264-0260

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 15118 Minnesota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 15118 Minnesota

Profile Details

NPI number 1629108410
LBN Legal business name Lacuna For Integrative Therapies
DBA Doing business as Joshua M Kent, Licsw
Authorized official Kent, Joshua M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Aug 28th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629108410 NPPES
Minnesota MEDICAID 607649100

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