LAURIE K. TAZELAAR-WILLIAMS
NPI 1154814564
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in White Bear Lake, MN

Q: What is Laurie Tazelaar-williams's NPI number?

The NPI number for Laurie Tazelaar-williams is 1154814564. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Q: What is Laurie Tazelaar-williams's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since June 11, 2018

5253 W BALD EAGLE BLVD, WHITE BEAR LAKE, MN 55110(612) 380-3333 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Laurie K. Tazelaar-williams NPPES

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

LAURIE K. TAZELAAR-WILLIAMS (NPI 1154814564) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in White Bear Lake, Minnesota and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1154814564

Entity TypeIndividualFemale

Primary Taxonomy320900000X

Provider Legal NameLAURIE K. TAZELAAR-WILLIAMS

Location Address5253 W BALD EAGLE BLVDWhite Bear Lake, MN 55110-6532

Mailing AddressPo Box 10818White Bear Lake, MN 55110-0818 · (612) 380-3333

Phone(612) 380-3333

Sole ProprietorYes

Enumeration DateJune 11, 2018

✔ NPI 1154814564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

5253 W BALD EAGLE BLVD, White Bear Lake, MN 55110

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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 Laurie Tazelaar-williams's NPI number?

The NPI number for Laurie Tazelaar-williams is 1154814564. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Where is Laurie Tazelaar-williams located?

Laurie Tazelaar-williams practices at 5253 W Bald Eagle Blvd, White Bear Lake, MN 55110. The listed phone number is (612) 380-3333.

What is Laurie Tazelaar-williams's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Laurie Tazelaar-williams was last updated on June 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.