# TRISTATE PROVIDER ADVOCATE & CONSULTING

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

## Provider details

- **NPI number:** 1942178868
- **Authorized official:** LUNDA J THOMAS DIRECTOR (CREDENTIALING/CONTRACTING)
- **Authorized official phone:** (763) 807-5254

## Contact information

- **Practice address:** 1710 DOUGLAS DR N STE 120, GOLDEN VALLEY, MN 55422-4352
- **Practice address phone:** (763) 807-5254
- **Practice address fax:** (612) 465-3032
- **Mailing address:** 910 SHERIDAN AVE N, MINNEAPOLIS, MN 55411-3615
- **Mailing address phone:** (763) 807-5254
- **Mailing address fax:** (612) 465-3032

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2025
- **Last updated:** 10/24/2025