Provider Demographics
NPI:1053941435
Name:LEHRKE THERAPEUTIC SERVICES LLC
Entity type:Organization
Organization Name:LEHRKE THERAPEUTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHRKE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:952-529-4302
Mailing Address - Street 1:14451 HIGHWAY 7 STE 218&219
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-3740
Mailing Address - Country:US
Mailing Address - Phone:952-529-4302
Mailing Address - Fax:
Practice Address - Street 1:14451 HIGHWAY 7 STE 218&219
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-3740
Practice Address - Country:US
Practice Address - Phone:952-529-4302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2754OtherLMFT LICENSE