Life Roads, Llc

LBN: Life Roads, Llc
Life Roads, Llc is an health care organization with primary practice located at 1068 Lake St S Suite 109, Forest Lake MN 55025-2639. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. Life Roads, Llc can be contacted via phone (651) 230-0492, or through Fries, Sharon Rose via phone (651) 230-0492.

Contact Information

Primary practice address
1068 Lake St S Suite 109 Forest Lake MN 55025-2639
Phone: (651) 230-0492
Fax: (651) 982-6035
Website:
Map and Directions
Authorized official contact:
Name: Fries, Sharon Rose LMFT
Phone: (651) 230-0492

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0938 Minnesota

Profile Details

NPI number 1609091008
LBN Legal business name Life Roads, Llc
DBA Doing business as
Authorized official Fries, Sharon Rose LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2007
Last updated Oct 24th, 2012 - about 12 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 1609091008 NPPES
Minnesota MEDICAID 1601130-00

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