LOLA MARIE BOOTH LADC
NPI 1093480949
Counselor - Addiction (Substance Use Disorder) in Detroit Lakes, MN

Q: What is Lola Booth's NPI number?

The NPI number for Lola Booth is 1093480949. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Q: What is Lola Booth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Lola Booth was last updated on October 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 12, 2021

921 8TH ST SE, DETROIT LAKES, MN 56501(218) 844-9730 Get Directions Write a Review

NPPES record last updated: October 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2021, Aug 12, 2021 (2 updates tracked since 2021).

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About Lola Marie Booth Ladc NPPES

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

LOLA MARIE BOOTH LADC (NPI 1093480949) is an individual addiction (substance use disorder) provider in Detroit Lakes, Minnesota, licensed in Minnesota (305800) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1093480949

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameLOLA MARIE BOOTHCredential: LADC

Location Address921 8TH ST SEDetroit Lakes, MN 56501-2840

Mailing Address921 8th Street SoutheastDetroit Lakes, MN 56501-4219 · (218) 844-9730 · Fax (218) 844-7754

Phone(218) 844-9730

Sole ProprietorYes

Enumeration DateAugust 12, 2021

Last NPPES UpdateOctober 3, 20212 updates tracked since enumeration

NPPES CertifiedOctober 3, 2021

✔ NPI 1093480949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MN · 305800

921 8TH ST SE, Detroit Lakes, MN 56501

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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

Other Providers at the Same Location NPPES 2

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

WHITNEY KAYTLIN WARREN LADC

Counselor (Addiction (Substance Use Disorder))

921 8TH ST SE
DETROIT LAKES, MN 56501

Becker County (218) 844-9729

DAYSTAR RECOVERY CENTER

Substance Abuse Rehabilitation Facility

921 8TH ST SE
DETROIT LAKES, MN 56501

Becker County (218) 760-4062

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 Lola Booth's NPI number?

The NPI number for Lola Booth is 1093480949. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Where is Lola Booth located?

Lola Booth practices at 921 8th St SE, Detroit Lakes, MN 56501. The listed phone number is (218) 844-9730.

What is Lola Booth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lola Booth was last updated on October 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.