OrganizationActive
Acres for Life Therapy & Wellness Center
NPI 1053702910 · Counselor · Chisago City, MN
Provider details
- NPI number
- 1053702910
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lynn Moore, Executive Director(651) 257-4159
- License
- 302220 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11720 256th St
Chisago City, MN 55013-9752
Phone: (651) 257-4159
Street-level locationGet directions
Mailing address
11720 256th St
Chisago City, MN 55013-9752
Registry dates
- Enumerated
- 2015-02-13
- Last updated
- 2015-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.