TONKA LIFE CENTER, LTD
NPI 1154988350
Psychologist - Clinical in Long Lake, MN

Q: What is Tonka Life Center, Ltd's NPI number?

The NPI number for Tonka Life Center, Ltd is 1154988350. It was assigned to this organization in the NPPES registry on May 22, 2019.

Q: What is Tonka Life Center, Ltd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 22, 2019

1605 W WAYZATA BLVD, LONG LAKE, MN 55356(888) 209-0305(952) 442-3620 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tonka Life Center, Ltd NPPES

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

TONKA LIFE CENTER, LTD (NPI 1154988350) is a healthcare organization registered as a clinical in Long Lake, Minnesota and active in the NPI registry since May 2019. The organization lists Brian V Nelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1154988350

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameTONKA LIFE CENTER, LTD

Location Address1605 W WAYZATA BLVDLong Lake, MN 55356-9300

Mailing Address400 10th St EWaconia, MN 55387-4552 · (888) 209-0305 · Fax (952) 442-3620

Phone(888) 209-0305

Fax(952) 442-3620

Organization SubpartNo

Authorized OfficialBrian V NelsonOwner · (952) 393-6280

Enumeration DateMay 22, 2019

✔ NPI 1154988350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1605 W WAYZATA BLVD, 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 Tonka Life Center, Ltd's NPI number?

The NPI number for Tonka Life Center, Ltd is 1154988350. It was assigned to this organization in the NPPES registry on May 22, 2019.

Where is Tonka Life Center, Ltd located?

Tonka Life Center, Ltd is located at 1605 W Wayzata Blvd, Long Lake, MN 55356. The listed phone number is (888) 209-0305.

What is Tonka Life Center, Ltd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Tonka Life Center, Ltd was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.