Lakeside Psychological Services in Grand Rapids - Counseling
Lakeside Psychological Services - NPI 1316043458
Lakeside Psychological Services is a Counseling in Grand Rapids, Minnesota. Lakeside Psychological Services practices all healthcare services and medical treatments related to Counseling. The NPI Number for Lakeside Psychological Services is 1316043458. The last update date is 2020-08-22.
Lakeside Psychological Services's current location address is 2618 Emerald Dr, Grand Rapids, Minnesota. You can contact this provider via phone number 2183279013 and fax number 2183279013. The mailing address for Lakeside Psychological Services is 2618 Emerald Dr, Grand Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeside Psychological Services |
|---|---|
| Address | 2618 Emerald Dr, Grand Rapids, Minnesota |
| Phone Number | 2183279013 |
| Fax Number | 2183279013 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING AG |
|---|---|
| Authorized Official Name | Lauseng Ellen Coreen |
| Telephone Number | 9529351961 |
NPI Number Detail
| NPI Number | 1316043458 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2618 Emerald Dr |
|---|---|
| City | Grand Rapids |
| State | Minnesota (MN) |
| Post Code | 557445060 |
| Phone Number | 2183279013 |
| Fax Number | 2183279013 |
Provider's Primary Taxonomy Detail
| Speciality | Counseling |
|---|---|
| Taxonomy | 103Tc1900X |
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Definition: A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8G811GR | MN | BLUE CROSS BLUE SHIELD MN |
Post Comment/ Review Below
What is the unique identification code assigned to Lakeside Psychological Services by the Centers for Medicare & Medicaid Services?
The Lakeside Psychological Services has been issued the NPI (National Provider Identifier) 1316043458. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lakeside Psychological Services's physical address?
The Lakeside Psychological Services is physically located at 2618 Emerald Dr, in the city of Grand Rapids, MN, with the postal code 557445060.
What is Lakeside Psychological Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lakeside Psychological Services is Counseling, and the taxonomy code that classifies this field of practice is 103Tc1900X.
On what date was the 1316043458 assigned to Lakeside Psychological Services?
The Lakeside Psychological Services was issued its 1316043458 on 2006-09-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lakeside Psychological Services last refreshed?
The information related to the Lakeside Psychological Services, including its address, specialty, and other relevant details, was last updated on 2020-08-22.