Healthcare Provider Details

I. General information

NPI: 1770383440
Provider Name (Legal Business Name): LEAD THE WAY PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 3RD ST SE
KASSON MN
55944-2943
US

IV. Provider business mailing address

24888 710TH ST
HAYFIELD MN
55940-2601
US

V. Phone/Fax

Practice location:
  • Phone: 507-910-4609
  • Fax:
Mailing address:
  • Phone: 507-910-4609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE KASPER
Title or Position: NURSE PRACTITIONER
Credential: PMHNP
Phone: 507-910-4609