West Lake Counseling And Wellness, Inc

LBN: West Lake Counseling And Wellness, Inc
West Lake Counseling And Wellness, Inc is an health care organization with primary practice located at 1613 W Wayzata Blvd Ste B , Long Lake MN 55356-4103. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. West Lake Counseling And Wellness, Inc can be contacted via phone (612) 386-2311, or through Mizuhata, Tara Bauman via phone (612) 386-2311.

Contact Information

Primary practice address
1613 W Wayzata Blvd Ste B Long Lake MN 55356-4103
Phone: (612) 386-2311
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mizuhata, Tara Bauman LICSW
Phone: (612) 386-2311

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 18016 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 18044 Minnesota

Profile Details

NPI number 1255791745
LBN Legal business name West Lake Counseling And Wellness, Inc
DBA Doing business as
Authorized official Mizuhata, Tara Bauman LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2016
Last updated Feb 26th, 2016 - about 8 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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