National Provider Identifier Database

LIFE SKILLS INSTITUTE CLINIC INC
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

LIFE SKILLS INSTITUTE & CLINIC, INC.
3937 ORCHID LN N
PLYMOUTH, MN55446-3281
Phone: 763-476-1031
Fax: 763-476-0181
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for LIFE SKILLS INSTITUTE & CLINIC, INC.

NPI Number 1528145281
Legal business name
LBN
LIFE SKILLS INSTITUTE & CLINIC, INC.
Authorized official MARGARET GREEN - (LICENSEED PSYCHOLOGIST)
Entity Organization
Organization subpart No
Enumeration date 11/01/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: LP0148
  • MN Other: 05915GR BLUE CROSS BLUE SHIELD
  • MN Other: 6181110 MEDICA PROVIDER ID
  • MN Other: 41147 PREFERRED ONE PROV ID

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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