Lakeview Wellness LLC

NPI #1780389189 in Farmington, Minnesota

Provider Information

NPI Number: 1780389189
Entity Type: Organization
Organization Name: Lakeview Wellness LLC
Primary Specialty: Social Worker
Enumeration Date: Apr 4, 2023
Last Updated: Sep 2, 2025

Practice Location

Address: 408 3RD ST STE 107
City: Farmington
State: Minnesota
ZIP Code: 55024-1355
Phone: (176) 376-0213

Authorized Official

Name: TESSA FULTZ, LICSW
Title: OWNER/THERAPIST
Phone: (763) 760-2134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Early Intervention Provider Agency	252Y00000X
Case Management	251B00000X
Social Worker	104100000X	Primary

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