OrganizationActive
The Lake Group LLC
NPI 1346471232 · Psychologist · St. Louis Park, MN
Provider details
- NPI number
- 1346471232
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Bettina Stuecher, Owner(651) 235-6493
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Nutritionist133N00000X
Dietary & Nutritional Service Providers
Practice location
4500 Park Glen Road #155
St. Louis Park, MN 55416
Phone: (612) 223-7992
Fax: (952) 928-9774
Approximate (ZIP-level) locationGet directions
Mailing address
4500 Park Glen Road #155
St. Louis Park, MN 55416
Other names (DBA / former)
- Doing business as
- Mound Psychological Services
Registry dates
- Enumerated
- 2009-07-27
- Last updated
- 2024-11-11
- Certified
- 2024-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.