West Lake Counseling and Wellness, Inc
West Lake Counseling and Wellness, Inc provides Clinical Social Worker services in Long Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.
- Licensed in
- MN
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1613 W Wayzata Blvd Ste BLong Lake, MN 55356-4103 Not confirmed with CMS for 10 years — call before visiting
Phone: (612) 386-2311
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 18016 (MN) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 18044 (MN) |
Record details
| NPI number | 1255791745 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tara Mizuhata — President · (612) 386-2311 |
| NPI enumerated | February 26, 2016 |
| Last updated in NPPES | February 26, 2016 |
| Mailing address | 470 County Road 110 N, Mound, MN 55364-8315 |