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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 Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

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

NPI Number 1528145281
LBN Legal business name LIFE SKILLS INSTITUTE & CLINIC, INC.
Authorized official MARGARET GREEN - (LICENSEED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 08/22/2020 - About 6 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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