Latitudes Treatment Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1066083 Issued in MN

Legal business name

LATITUDES TREATMENT CENTER LLC

Doing business as

Eosis Latitudes

Practice address

550 Main St Ste 230
New Brighton, MN 55112-3274

Phone

(612) 326-7600

NPI assigned

Aug 28, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lewis P Zeidner, PHD

Title

Ceo

Phone

(763) 245-8278

Specialties & licenses 1

Addresses

Other names 1

• Eosis Latitudes Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1487088290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551173917",
            "telephone_number": "612-326-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MAIN ST STE 230",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551123274",
            "telephone_number": "612-326-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATITUDES TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "ZEIDNER",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-245-8278",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1066083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eosis Latitudes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ethan Kent Lacey
• Alissa Marie Lambrides, BA, MA
• Sherrie L Lange, PT
• Stephen Langemo, RPH
• Thomas M Latimer, LICSW
• Maureen Angela Law, MA, LMFT
• Meredith Lawlor
• Sarah Leach
• Marjean Diane Leary, RN
• Tatiana Marie Lemire

• Substance Abuse Rehabilitation Facility in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.