Lisa Bonahoom LLC
Organization Active NPI Marriage & Family Therapist · Long Lake, MN
NPI 1033921069 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1033921069
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- LISA BONAHOOM LLC
- Practice address
- 1850 W Wayzata Blvd Ste 150
Long Lake, MN 55356-4415 - Phone
- (952) 240-9404
- NPI assigned
- Jan 27, 2025
- Organization subpart
- No
Authorized official
- Name
- Lisa Bonahoom
- Title
- Ma, LMFT
- Phone
- (952) 240-9404
Practitioners 1
-
Lisa Bonahoom, LMFT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | Yes |
Addresses
Primary practice location
1850 W Wayzata Blvd Ste 150
Long Lake, MN 55356-4415
Mailing address
1830 Pheasant Dr
Excelsior, MN 55331-9061
Phone (952) 240-9404
Other providers in Long Lake, MN
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- Lakeside Counseling
- Brianne Levandoski
- Long Lake Assisted Living
- Long Lake Eye LLC
- Joshua David Mazurek
- Douglas John McNaught
- Kathryn Aschliman Muller
All providers in Long Lake, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.