# AURORA LAKE MENTAL HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871467290
- **Authorized official:** JILL E SALO LPCC/LADC (OWNER)
- **Authorized official phone:** (952) 479-0640

## Contact information

- **Practice address:** 205 BARRY AVE S APT 313, WAYZATA, MN 55391-1641
- **Practice address phone:** (952) 479-0640
- **Mailing address:** 205 BARRY AVE S APT 313, WAYZATA, MN 55391-1641
- **Mailing address phone:** (952) 479-0640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2025
- **Last updated:** 10/07/2025