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

Tonka Life Center, Ltd

Organization Clinical Psychologist · NPI 1154988350

Tonka Life Center, Ltd is a Clinical Psychologist in Long Lake, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1605 W Wayzata Blvd
Long Lake, MN 55356-9300
Phone: (888) 209-0305
Fax: (952) 442-3620
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1154988350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Nelson — Owner · (952) 393-6280
NPI enumeratedMay 22, 2019
Last updated in NPPESMay 22, 2019
Mailing address400 10th St E, Waconia, MN 55387-4552