| Lakeside Mental Wellness Inc | |
|
2649 Park Ave Ste 212 Minneapolis MN 55407-1006 | |
| (612) 290-2040 | |
| Not Available |
| Full Name | Lakeside Mental Wellness Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 2649 Park Ave Ste 212, Minneapolis, Minnesota |
| Authorized Official Name and Position | Adan Ahmed Hirad (OWNER) |
| Authorized Official Contact | 6122902040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Mental Wellness Inc 2649 Park Ave Ste 212 Minneapolis MN 55407-1006 Ph: (612) 290-2040 | Lakeside Mental Wellness Inc 2649 Park Ave Ste 212 Minneapolis MN 55407-1006 Ph: (612) 290-2040 |
| NPI Number | 1538977756 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538977756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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