Life Development Resources, PA
Life Development Resources, PA is an Addiction (Substance Use Disorder) Counselor in Lakeville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.
- Licensed in
- MN
- In the registry since
- 2007
- Specialties on file
- 15
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7580 160th St WLakeville, MN 55044-8348
Phone: (952) 898-1133
Fax: (952) 435-6797
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X (MN) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Mental Health Counselor | Taxonomy 101YM0800X |
| Professional Counselor | Taxonomy 101YP2500X |
| Clinical Psychologist | Taxonomy 103TC0700X |
| Counseling Psychologist | Taxonomy 103TC1900X |
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X |
| Group Psychotherapy Psychologist | Taxonomy 103TP2701X |
| Social Worker | Taxonomy 104100000X |
| Clinical Social Worker | Taxonomy 1041C0700X |
| Marriage & Family Therapist | Taxonomy 106H00000X |
| Clinic/Center | Taxonomy 261Q00000X |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X |
| Psychiatric/Mental Health Clinical Nurse Specialist | Taxonomy 364SP0808X |
Record details
| NPI number | 1902953169 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kim Ross — Program Manager · (952) 564-6337 |
| NPI enumerated | January 3, 2007 |
| Last updated in NPPES | January 18, 2025 |
| Certification date | January 18, 2025 |
| Mailing address | 7580 160th St W, Lakeville, MN 55044-8348 |
Other providers in Lakeville
-
Rachael Leanne Gardner, LADC
17685 Juniper Path Ste 303, Lakeville, MN 55044-9821 · (952) 214-8959
-
MS. Jessica Hinck, MS, LPCC, LADC, CCTP
17685 Juniper Path Ste 303, Lakeville, MN 55044-9821 · (952) 214-8959
-
Jessica Johannes, MA, LPCC, LADC
7580 160th St W, Lakeville, MN 55044-8348 · (612) 919-0774
-
Kiana Kimmjo Johnson
18643 Jonesboro Ct, Lakeville, MN 55044-6500 · (612) 708-9043
-
Madeline Raye Simonson, LADC
10567 165th St W, Lakeville, MN 55044-3523 · (952) 767-9374