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

Lisa Bonahoom LLC

Organization Marriage & Family Therapist · NPI 1033921069

Lisa Bonahoom LLC is a Marriage & Family Therapist in Long Lake, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
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

1850 W Wayzata Blvd Ste 150
Long Lake, MN 55356-4415
Phone: (952) 240-9404
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1033921069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Bonahoom — Ma, Lmft · (952) 240-9404
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 26, 2025
Mailing address1830 Pheasant Dr, Excelsior, MN 55331-9061

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