Organization Name: | LIFEWORKS COUNSELING SERVICES, LLC |
NPI Number: | 1114256294 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHEILA DWYER (OWNER) |
Mailing Address: | 7200 Hudson Blvd N Suite 107b Oakdale |
State: | MN US |
Postal Code: | 551287055 |
Phone Number: | 6512709591 |
Fax Number: | 6517398809 |
NPI Enumeration Date: | 12/18/2009 |
NPI Last Update Date: | 05/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 303027 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |