LAKEVIEW BEHAVIORAL HEALTH LLC (NPI# 1164881561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164881561 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW BEHAVIORAL HEALTH LLC |
| Practice Address |
520 Nw 1st Ave Ste 5 Grand Rapids MN 55744-2619 |
| Practice Telephone | 2183024468 |
| Practice Fax Number | 2183021457 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-04-13 |
| Authorized Official Name | THOMAS JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 2183024468 |
| Authorized Official Credential | APRN, CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
CNP 2950 | MN | Ambulatory Health Care Facilities |
| Street Address |
520 NW 1ST AVE STE 5 |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609051168 | Thomas Johnson IIi | Registered Nurse | 520 Nw 1st Ave Ste 5, Grand Rapids, MN 55744-2619 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
| 1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
| 1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
| 1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
| 1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
| Find all providers in zip 55744 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1902366974 | Caring Well Counseling | Clinic/Center | 2040 Raybrook St Se Ste 103, Grand Rapids, MI 49546-7718 | 2019-03-25 |
| 1881154953 | Speak Easy LLC | Clinic/Center | 10 Nw 5th St Ste 203, Grand Rapids, MN 55744-2660 | 2019-03-23 |
| 1912471863 | Catherine A Vandewege LLC | Clinic/Center | 800 Monroe Ave Nw Ste 201, Grand Rapids, MI 49503-1448 | 2019-01-14 |
| 1477026847 | Vetgr | Clinic/Center | 77 Monroe Center St Nw Ste 504, Grand Rapids, MI 49503-2903 | 2019-01-08 |
| 1508379397 | Jolie J. Brown, Lmsw LLC | Clinic/Center | 4519 Cascade Rd Se Ste 4, Grand Rapids, MI 49546-8319 | 2017-11-15 |
| 1619980927 | Family Outreach Center | Clinic/Center | 1939 S Division, Grand Rapids, MI 49507 | 2006-08-15 |
| 1518973858 | North Kent Guidance Services LLC | Clinic/Center | 5250 Northland Drive, Suite A North Kent Guidance Services LLC, Grand Rapids, MI 49525-1040 | 2006-07-31 |
| 1841803517 | Dignity Counseling & Wellness, LLC | Clinic/Center | 3280 E Beltline Ct Ne, Grand Rapids, MI 49525-9494 | 2020-08-24 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
Please comment or provide details below to improve the information on LAKEVIEW BEHAVIORAL HEALTH LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.