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FAMILY LIFESTYLES COUNSELING & THERAPY NPI 1629390125


NPI Information

NPI: 1629390125
Provider Name: FAMILY LIFESTYLES, COUNSELING & THERAPY
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
5100 THIMSEN AVE
SUITE 130
MINNETONKA, MN
ZIP 55345
Phone: (612) 716-7159
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FAMILY LIFESTYLES, COUNSELING & THERAPY is a psychologist in Minnetonka, MN. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. FAMILY LIFESTYLES, COUNSELING & THERAPY NPI is 1629390125. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5100 THIMSEN AVE
SUITE 130
MINNETONKA, MN
ZIP 55345-108
Phone: (612) 716-7159
Fax: (952) 474-4025

The provider's authorized official is Kevin H. Blonigen .
The authorized official title is President and has the following contact phone number (612) 716-7159.

The enumeration date for this NPI number is 2/24/2010 and was last updated on 2/24/2010.


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
1103T00000XPsychologistLP 3981MINNESOTAYes

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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