Tessa Fultz

LBN: Lakeview Wellness Llc
Tessa Fultz is an health care organization with primary practice located at 408 3Rd St Ste 107 , Farmington MN 55024-1355. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Agencies / Case Management, Agencies / Early Intervention Provider Agency. Behavioral Health & Social Service Providers / Social Worker is the primary health care specialty. Lakeview Wellness Llc can be contacted via phone (176) 376-0213, or through Fultz, Tessa via phone (763) 760-2134.

Contact Information

Primary practice address
408 3Rd St Ste 107 Farmington MN 55024-1355
Phone: (176) 376-0213
Fax: (651) 390-6136
Website:
Map and Directions
Authorized official contact:
Name: Fultz, Tessa LICSW
Phone: (763) 760-2134

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Agencies / Case Management 251B00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1780389189
LBN Legal business name Lakeview Wellness Llc
DBA Doing business as Tessa Fultz
Authorized official Fultz, Tessa LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2023
Last updated Jan 22nd, 2024 - 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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