Lyn-Lake Psychotherapy and Wellness, LTD.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13509 Issued in MN

Legal business name

LYN-LAKE PSYCHOTHERAPY AND WELLNESS, LTD.

Practice address

621 W Lake St
Ste 350
Minneapolis, MN 55408-2949

Phone

(612) 799-7299

NPI assigned

Jul 24, 2014

Last updated

Dec 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzanne Morgan, LICSWNPI 1427135151

Title

Owner, Ceo

Phone

(612) 799-7299

Specialties & licenses 1

Addresses

Other names 1

• Morgan Psychotherapy Associates, Ltd. Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzanne Morgan, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1427135151
  Authorized official Same address or phone

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1750799599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 WEST LAKE ST",
            "address_2": "SUITE 350",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55408",
            "telephone_number": "612-799-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W LAKE ST",
            "address_2": "STE 350",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082949",
            "telephone_number": "612-799-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYN-LAKE PSYCHOTHERAPY AND WELLNESS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "612-799-7299",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morgan Psychotherapy Associates, Ltd.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Allison Joan Lybeck, MS, CCC-SLP
• Emmeanna Susan Lyda, DC
• Emily Nkaujhli Lyfoung
• Jill Nicole Lyle, CNP
• Lyn-Lake Psychotherapy and Wellness LTD.
• David I Lynch-Salamon, MD
• John William Lynch, MSW
• Julie Elizabeth Lynch, L.AC.
• Rachel Rose Lynch, APRN, CNP
• Rita Ann Lynch, ANP, GNP

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.