LIFE DEVELOPMENT RESOURCES, PA

LAKEVILLE, MN
NPI1902953169
Entity TypeOrganization
Authorized ContactKIM TRACY ROSS
Program Manager
952-564-6337
Organization Subpart ?No
Primary Taxonomy251S00000X 
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
101YM0800X Counselor, Mental Health
101YP2500X Counselor, Professional
103TC0700X Psychologist, Clinical
103TC1900X Psychologist, Counseling
103TC2200X Psychologist, Clinical Child & Adolescent
103TP2701X Psychologist, Group Psychotherapy
104100000X Social Worker
1041C0700X Social Worker, Clinical
106H00000X Marriage & Family Therapist
261Q00000X Clinic/Center
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
363LP0808X Nurse Practitioner, Psych/Mental Health
364SP0808X Clinical Nurse Specialist, Psych/Mental Health
Enumeration Date2007-01-03
Last Update Date2025-01-18
Business Address
LIFE DEVELOPMENT RESOURCES, PA
7580 160TH ST W
LAKEVILLE, MN 55044-8348
Phone number: 952-898-1133
Mailing Address
LIFE DEVELOPMENT RESOURCES, PA
7580 160TH ST W
LAKEVILLE, MN 55044-8348
Phone number: 952-898-1133