Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Region Therapeutic Services Inc

Organization Adult Mental Health Clinic/Center · NPI 1114484847

Lake Region Therapeutic Services Inc is an Adult Mental Health Clinic/Center in Hopkins, Minnesota. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1007 Mainstreet
Hopkins, MN 55343-7517
Phone: (952) 456-6352
Fax: (952) 303-3104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3200 Bloomington Ave Apt 3, Minneapolis, MN 55407-1773 — (612) 987-2990

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1114484847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abdirazaq Ibrahim — Owner · (602) 323-4873
NPI enumeratedFebruary 28, 2019
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023
Mailing address3055 Old Highway 8 Ste 347, Saint Anthony, MN 55418-2500

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