Organization
OUTREACH COUNSELING & CONSULTING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUZMILA AMUNDSON (PRESIDENT)
(651) 481-0664
Entity
Organization
Contact information
Practice address
3570 LEXINGTON AVE N, SUITE 100, SHOREVIEW, MN 55126-8049
(651) 481-0664
(651) 481-3907
Mailing address
3570 LEXINGTON AVE N, SUITE 100, SHOREVIEW, MN 55126-8049
(651) 481-0664
(651) 481-3907
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103755
UCARE
MN
01
—
10D18OU
BCBS
MN
01
—
31B23OU
BCBS
MN
01
—
38043
HEALTHPARTNERS
MN
01
—
62B09OU
BCBS
MN
Enumeration date
12/22/2006
Last updated
09/11/2025
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