OrganizationActive
Lake Minnetonka Counseling
NPI 1578835310 · Adolescent and Children Mental Health Clinic/Center · Long Lake, MN
Provider details
- NPI number
- 1578835310
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tara Bauman, Therapist(612) 386-2311
- License
- 18016 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
432 Mill St
Suite 201
Long Lake, MN 55356-8304
Phone: (612) 386-2311
Approximate (ZIP-level) locationGet directions
Mailing address
470 County Road 110 North
Minnetrista, MN 55364-8315
Registry dates
- Enumerated
- 2012-02-08
- Last updated
- 2012-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.