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

Kaila Formanek, LGSW

Individual provider Mental Health Counselor · NPI 1982313730

Kaila Formanek, LGSW is a Mental Health Counselor in Minneapolis, Minnesota. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

410 Church St SE
Minneapolis, MN 55455-0222
Phone: (612) 625-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1982313730
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGSW
Sole proprietorNo
NPI enumeratedNovember 21, 2022
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022

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