Organization
10,000 LAKES HEALING & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WEILL LGSW (MENTAL HEALTH THERAPIST)
(651) 900-3889
Entity
Organization
Contact information
Practice address
9820 GARLAND LN N APT B206, MAPLE GROVE, MN 55311-4728
(651) 900-3889
Mailing address
9820 GARLAND LN N APT B206, MAPLE GROVE, MN 55311-4728
(651) 900-3889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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