| The Lake Group Llc | |
|
4500 Park Glen Road #155 St. Louis Park MN 55416 | |
| (612) 223-7992 | |
| (952) 928-9774 |
| Full Name | The Lake Group Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4500 Park Glen Road #155, St. Louis Park, Minnesota |
| Authorized Official Name and Position | Bettina Stuecher (OWNER) |
| Authorized Official Contact | 6512356493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lake Group Llc 4500 Park Glen Road #155 St. Louis Park MN 55416 Ph: (612) 223-7992 | The Lake Group Llc 4500 Park Glen Road #155 St. Louis Park MN 55416 Ph: (612) 223-7992 |
| NPI Number | 1346471232 |
|---|---|
| Provider Enumeration Date | 07/27/2009 |
| Last Update Date | 11/11/2024 |
| Certification Date | 11/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346471232 | NPI | - | NPPES |
| 5H617PO | Other | MN | BLUE CROSS |
Lacuna For Integrative Therapies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5009 Excelsior Blvd, Suite 134, St. Louis Park, MN 55416 Phone: 612-360-5685 Fax: 952-285-4103 | |
Wayside House, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1349 Jersey Ave S, St. Louis Park, MN 55426 Phone: 952-542-9322 Fax: 952-542-0031 |