Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tonka Life Center, Ltd

Organization Clinical Psychologist · NPI 1154988350

Tonka Life Center, Ltd provides Clinical Psychologist services in Long Lake, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1605 W Wayzata Blvd
Long Lake, MN 55356-9300
Phone: (888) 209-0305
Fax: (952) 442-3620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1154988350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Nelson — Owner · (952) 393-6280
NPI enumeratedMay 22, 2019
Last updated in NPPESMay 22, 2019
Mailing address400 10th St E, Waconia, MN 55387-4552