WAVELENGTHS NW LLC NPI 1972474880

NPI Information

  • NPI: 1972474880
  • Provider Name: WAVELENGTHS NW LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 321 W 48TH ST
    MINNEAPOLIS, MN
    ZIP 55419
  • Phone: (541) 801-3413

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NPI Details

WAVELENGTHS NW LLC is a mental health (including community mental health center) clinic center in Minneapolis, MN. WAVELENGTHS NW LLC NPI is 1972474880. The provider is registered as an organization entity type.

The provider's business location address is:

321 W 48TH ST
MINNEAPOLIS, MN
ZIP 55419-417
Phone: (541) 801-3413

The provider's authorized official is Lindsay Lillstrom .
The authorized official title is Psychologist and has the following contact phone number (206) 484-6566.

The enumeration date for this NPI number is 9/15/2025 and was last updated on 9/15/2025.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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