Lakeside Mental Health

LBN: Lakeside Mental Health
Lakeside Mental Health is an health care organization with primary practice located at 2330 Troop Dr Unit 101 , Sartell MN 56377-4531. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Lakeside Mental Health can be contacted via phone (320) 296-1592, or through Klitzke, Kati via phone (320) 640-2980.

Contact Information

Primary practice address
2330 Troop Dr Unit 101 Sartell MN 56377-4531
Phone: (320) 296-1592
Fax: (320) 640-3029
Website:
Map and Directions
Authorized official contact:
Name: Klitzke, Kati PSYD, LP
Phone: (320) 640-2980

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1457011371
LBN Legal business name Lakeside Mental Health
DBA Doing business as
Authorized official Klitzke, Kati PSYD, LP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2021
Last updated Jan 25th, 2022 - about 2 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 1457011371 NPPES
Other 1750746715 NPI

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