LAKESIDE COUNSELING SERVICES NPI 1083423453

NPI Information

  • NPI: 1083423453
  • Provider Name: LAKESIDE COUNSELING SERVICES
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1031A PERUQUE CROSSING CT
    O FALLON, MO
    ZIP 63366
  • Phone: (636) 887-3655

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NPI Details

LAKESIDE COUNSELING SERVICES is a professional counselor in O Fallon, MO. LAKESIDE COUNSELING SERVICES NPI is 1083423453. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1031A PERUQUE CROSSING CT
O FALLON, MO
ZIP 63366-384
Phone: (636) 887-3655
Fax: (636) 887-3655

The provider's authorized official is Nathan Lundin .
The authorized official title is Owner and has the following contact phone number (636) 887-3655.

The enumeration date for this NPI number is 12/31/2024 and was last updated on 12/31/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

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: 11/21/2025

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