# LORENZ CLINIC, LLC

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

## Provider details

- **NPI number:** 1982900510
- **Authorized official:** DR. CHAD T. LORENZ PSY.D. (OWNER)
- **Authorized official phone:** (952) 443-4600

## Contact information

- **Practice address:** 1772 STEIGER LAKE LN, SUITE 220, VICTORIA, MN 55386-7723
- **Practice address phone:** (952) 443-4600
- **Practice address fax:** (952) 443-4604
- **Mailing address:** PO BOX 51, 1772 STIEGER LAKE LANE SUITE 220, VICTORIA, MN 55386-0051
- **Mailing address phone:** (952) 443-4600
- **Mailing address fax:** (952) 443-4604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1764 | MN | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | LP5754 | MN | — |

## Other

- **Enumeration date:** 01/29/2011
- **Last updated:** 08/18/2016