LAKEVIEW WELLNESS LLC NPI 1780389189

NPI Information

  • NPI: 1780389189
  • Provider Name: LAKEVIEW WELLNESS LLC
  • Classification: Social Worker - 104100000X
  • Entity Type: Organization
  • :
  • Address: 408 3RD ST STE 107
    FARMINGTON, MN
    ZIP 55024
  • Phone: (176) 376-0213

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NPI Details

LAKEVIEW WELLNESS LLC is a social worker in Farmington, MN. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. LAKEVIEW WELLNESS LLC NPI is 1780389189. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

408 3RD ST STE 107
FARMINGTON, MN
ZIP 55024-355
Phone: (176) 376-0213
Fax: (651) 390-6136

The provider's authorized official is Tessa Fultz .
The authorized official title is Owner/therapist and has the following contact phone number (763) 760-2134.

The enumeration date for this NPI number is 4/4/2023 and was last updated on 9/2/2025.

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
1252Y00000XEarly Intervention Provider AgencyNo
2251B00000XCase ManagementNo
3104100000XSocial WorkerYes

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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