Lakeville Family Therapy

LBN: Lakeville Family Therapy
Lakeville Family Therapy is an health care organization with primary practice located at 17595 Kenwood Trl Suite 210, Lakeville MN 55044-9226. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Lakeville Family Therapy can be contacted via phone (612) 750-0263, or through Kelly, Kathleen Marie via phone (612) 750-0263.

Contact Information

Primary practice address
17595 Kenwood Trl Suite 210 Lakeville MN 55044-9226
Phone: (612) 750-0263
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Kathleen Marie MSW, LICSW
Phone: (612) 750-0263

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 19327 Minnesota

Profile Details

NPI number 1114268943
LBN Legal business name Lakeville Family Therapy
DBA Doing business as
Authorized official Kelly, Kathleen Marie MSW, LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2013
Last updated Mar 4th, 2013 - about 11 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 1114268943 NPPES
Minnesota MEDICAID 1972800753

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