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

Lakeside Mental Wellness Inc

Organization Clinic/Center · NPI 1538977756

Lakeside Mental Wellness Inc is a Clinic/Center in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
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

2649 Park Ave Ste 212
Minneapolis, MN 55407-1006
Phone: (612) 290-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1538977756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adan Hirad — Owner · (612) 290-2040
NPI enumeratedDecember 19, 2024
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024
Mailing address2649 Park Ave Ste 212, Minneapolis, MN 55407-1006

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