<Unavail>
LBN: The Lake Group Llc
<Unavail> is an health care organization with primary practice located at 4500 Park Glen Road #155 , St. Louis Park MN 55416. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Dietary & Nutritional Service Providers / Nutritionist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
The Lake Group Llc can be contacted via phone (612) 223-7992, or through Stuecher, Bettina via phone (651) 235-6493.
Contact Information
Primary practice address
4500 Park Glen Road #155
St. Louis Park MN 55416
Phone: (612) 223-7992
Fax: (952) 928-9774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1346471232 |
|---|---|
| LBN Legal business name | The Lake Group Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Stuecher, Bettina |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2009 |
| Last updated | Nov 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346471232 | NPPES |
| Minnesota | Other | 5H617PO | BLUE CROSS |
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