LAKE VICTORIA MENTAL HEALTH SERVICES, PC - NPI 1023377488 - Community/Behavioral Health in Minneapolis, MN

Q: What is Lake Victoria Mental Health Services, PC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Lake Victoria Mental Health Services, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE VICTORIA MENTAL HEALTH SERVICES, PC (NPI 1023377488) is a healthcare organization registered as a community/behavioral health in Minneapolis, Minnesota and active in the NPI registry since May 2012. The organization lists Zachary Olson, Owner, Director, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1023377488

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameLAKE VICTORIA MENTAL HEALTH SERVICES, PC

Location Address3405 CHICAGO AVEMinneapolis, MN 55407-2107

Mailing Address978 Dayton AveSaint Paul, MN 55104-6544

Phone(651) 724-0497

Organization SubpartNo

Authorized OfficialZachary OlsonOwner, Director, Psychotherapist · (651) 724-0497

Enumeration DateMay 4, 2012

Last NPPES UpdateApril 8, 2013

✔ NPI 1023377488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

3405 CHICAGO AVE, Minneapolis, MN 55407

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINNESOTA CARE PARTNER

Community/Behavioral Health

3405 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (612) 710-2797

KATY KIM ARMENDARIZ LICSW

Social Worker (Clinical)

3405 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (612) 710-2797

AVALON ADULT DAYCARE INC

Clinic/Center (Adult Day Care)

3405 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (612) 800-3476

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Victoria Mental Health Services, PC's NPI number?

The NPI number for Lake Victoria Mental Health Services, PC is 1023377488. It was assigned to this organization in the NPPES registry on May 4, 2012.

Where is Lake Victoria Mental Health Services, PC located?

Lake Victoria Mental Health Services, PC is located at 3405 Chicago Ave, Minneapolis, MN 55407. The listed phone number is (651) 724-0497.

What is Lake Victoria Mental Health Services, PC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Lake Victoria Mental Health Services, PC was last updated on April 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.