MS. KAITLIN LEZCANO LYTLE LMFT
NPI 1881114056
Counselor - Mental Health in St Louis Park, MN
Active since June 20, 2017
About Ms. Kaitlin Lezcano Lytle Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KAITLIN LEZCANO LYTLE LMFT (NPI 1881114056) is an individual mental health provider in St Louis Park, Minnesota, licensed in Minnesota (3414) and active in the NPI registry since June 2017.
NPPES Registry Identity
NPI1881114056
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KAITLIN LEZCANO LYTLECredential: LMFT
Location Address3525 MONTEREY DRSt Louis Park, MN 55416-5275
Mailing Address4620 York Ave SMinneapolis, MN 55410-1866 · (612) 308-0246
Phone(952) 993-5990
Sole ProprietorNo
Enumeration DateJune 20, 2017
✔ NPI 1881114056 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 3414
3525 MONTEREY DR, St Louis Park, MN 55416
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881114056, enumerated as an "individual" on June 20, 2017.
The provider is located at 3525 MONTEREY DR ST LOUIS PARK, MN 55416 and the phone number is (952) 993-5990.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
