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

Lake Victoria Mental Health Services, PC

Organization Community/Behavioral Health Agency · NPI 1023377488

Lake Victoria Mental Health Services, PC is a Community/Behavioral Health Agency in Minneapolis, Minnesota. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3405 Chicago Ave
Minneapolis, MN 55407-2107
Phone: (651) 724-0497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1023377488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zachary Olson — Owner, Director, Psychotherapist · (651) 724-0497
NPI enumeratedMay 4, 2012
Last updated in NPPESApril 8, 2013
Mailing address978 Dayton Ave, Saint Paul, MN 55104-6544

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