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

Lakes Wellness Center LLC

Organization Clinical Psychologist · NPI 1841664190

Lakes Wellness Center LLC is a Clinical Psychologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3248 Stevens Ave
Minneapolis, MN 55408-3214
Phone: (813) 401-7624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP5667 (MN)

Record details

NPI number1841664190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anisa Mohammed — Licensed Psychologist · (813) 401-7624
NPI enumeratedNovember 24, 2015
Last updated in NPPESNovember 24, 2015
Mailing address3248 Stevens Ave, Minneapolis, MN 55408-3214

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