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Organization
LAKE AND VALLEY FAMILY THERAPY LLC
Active
Organization
LAKE AND VALLEY FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA KELLER LMFT (OWNER)
(651) 360-1995
Entity
Organization
Contact information
Practice address
2179 4TH ST STE 2F, WHITE BEAR LAKE, MN 55110-3041
(651) 360-1995
(651) 666-1379
Mailing address
2179 4TH ST STE 2B, WHITE BEAR LAKE, MN 55110-3041
(651) 360-1995
(651) 666-1379
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/01/2023
Last updated
08/12/2026
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