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

Lakeshore Mind and Family PLLC

Organization Mental Health Counselor · NPI 1225960107

Lakeshore Mind and Family PLLC provides Mental Health Counselor services in Longview, Washington. Registered with an NPI since 2026.

In the registry since
2026
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

1338 Commerce Ave Ste 301
Longview, WA 98632-3726
Phone: (360) 984-9018
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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 number1225960107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aniezka Jenissen — Managing Member · (360) 984-9018
Other names Lake Sacajawea Counseling; Lake Sacajawea Mind And Family
NPI enumeratedJune 2, 2026
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address1338 Commerce Ave Ste 301, Longview, WA 98632-3726

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