Healthcare Provider Details

I. General information

NPI: 1366542425
Provider Name (Legal Business Name): LAKEWOOD COUNSELING AND CAREER CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6607 18TH AVE S SUITE 101
RICHFIELD MN
55423-2784
US

IV. Provider business mailing address

6607 18TH AVE S SUITE 101
RICHFIELD MN
55423-2784
US

V. Phone/Fax

Practice location:
  • Phone: 612-798-7373
  • Fax: 612-243-3615
Mailing address:
  • Phone: 612-798-7373
  • Fax: 612-243-3615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number802831
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number802831
License Number StateMN

VIII. Authorized Official

Name: MS. CATHY T. WEISMAN-LEHRER
Title or Position: CLINIC MANAGER
Credential:
Phone: 612-798-7373