Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Aurora Lake Mental Health PLLC

Organization Mental Health Counselor · NPI 1871467290

Aurora Lake Mental Health PLLC provides Mental Health Counselor services in Wayzata, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 Barry Ave S Apt 313
Wayzata, MN 55391-1641
Phone: (952) 479-0640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1871467290
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Salo — Owner · (952) 479-0640
NPI enumeratedSeptember 30, 2025
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address205 Barry Ave S Apt 313, Wayzata, MN 55391-1641

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