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LISA BONAHOOM LLC
NPI 1033921069
Marriage & Family Therapist in Long Lake, MN

Active since January 27, 2025
1850 W WAYZATA BLVD STE 150, LONG LAKE, MN 55356(952) 240-9404 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Lisa Bonahoom Llc NPPES

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

LISA BONAHOOM LLC (NPI 1033921069) is a healthcare organization registered as a marriage & family therapist in Long Lake, Minnesota and active in the NPI registry since January 2025. The organization lists Lisa Bonahoom, Ma, Lmft, as its authorized official.

NPPES Registry Identity

NPI1033921069
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameLISA BONAHOOM LLC
Location Address1850 W WAYZATA BLVD STE 150Long Lake, MN 55356-4415
Mailing Address1830 Pheasant DrExcelsior, MN 55331-9061 · (952) 240-9404
Phone(952) 240-9404
Organization SubpartNo
Authorized OfficialLisa BonahoomMa, Lmft · (952) 240-9404
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 26, 2025
✔ NPI 1033921069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1850 W WAYZATA BLVD STE 150, Long Lake, MN 55356
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Lisa Bonahoom LLC's NPI number?

The NPI number for Lisa Bonahoom LLC is 1033921069. It was assigned to this organization in the NPPES registry on January 27, 2025.

Where is Lisa Bonahoom LLC located?

Lisa Bonahoom LLC is located at 1850 W Wayzata Blvd Ste 150, Long Lake, MN 55356. The listed phone number is (952) 240-9404.

What is Lisa Bonahoom LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Lisa Bonahoom LLC was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.