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LAKES WELLNESS CENTER LLC
NPI 1841664190
Psychologist - Clinical in Minneapolis, MN

Active since November 24, 2015
3248 STEVENS AVE, MINNEAPOLIS, MN 55408(813) 401-7624 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakes Wellness Center Llc NPPES

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

LAKES WELLNESS CENTER LLC (NPI 1841664190) is a healthcare organization registered as a clinical in Minneapolis, Minnesota and active in the NPI registry since November 2015. The organization lists Anisa Sophia Mohammed, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1841664190
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLAKES WELLNESS CENTER LLC
Location Address3248 STEVENS AVEMinneapolis, MN 55408-3214
Mailing Address3248 Stevens AveMinneapolis, MN 55408-3214 · (813) 401-7624
Phone(813) 401-7624
Organization SubpartNo
Authorized OfficialAnisa Sophia MohammedLicensed Psychologist · (813) 401-7624
Enumeration DateNovember 24, 2015
✔ NPI 1841664190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP5667
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.
3248 STEVENS AVE, Minneapolis, MN 55408
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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 Lakes Wellness Center LLC's NPI number?

The NPI number for Lakes Wellness Center LLC is 1841664190. It was assigned to this organization in the NPPES registry on November 24, 2015.

Where is Lakes Wellness Center LLC located?

Lakes Wellness Center LLC is located at 3248 Stevens Ave, Minneapolis, MN 55408. The listed phone number is (813) 401-7624.

What is Lakes Wellness Center LLC'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 Lakes Wellness Center LLC was last updated on November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.