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LACUNA FOR INTEGRATIVE THERAPIES NPI 1629108410


NPI Information

NPI: 1629108410
Provider Name: LACUNA FOR INTEGRATIVE THERAPIES

Other Name: JOSHUA M KENT, LICSW

Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
5009 EXCELSIOR BLVD
SUITE 134
ST. LOUIS PARK, MN
ZIP 55416
Phone: (612) 360-5685
Get Directions

LACUNA FOR INTEGRATIVE THERAPIES is a cognitive and behavioral psychologist in St. Louis Park, MN. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. LACUNA FOR INTEGRATIVE THERAPIES NPI is 1629108410. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Joshua M Kent, Licsw.

The provider's business location address is:

5009 EXCELSIOR BLVD
SUITE 134
ST. LOUIS PARK, MN
ZIP 55416
Phone: (612) 360-5685
Fax: (952) 285-4103

The provider's authorized official is Joshua M Kent .
The authorized official title is Licsw and has the following contact phone number (651) 264-0260.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 8/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry15118MINNESOTANo
2103TB0200XPsychologistCognitive & Behavioral15118MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1607649100MEDICAIDMINNESOTA
2800001742MEDICARE PINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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