Organization
LAKEVIEW WELLNESS LLC
Active
Other names
Tessa Fultz
Organization subpart
No
Provider details
NPI number
Authorized official
TESSA FULTZ LICSW (OWNER/THERAPIST)
(763) 760-2134
Entity
Organization
Contact information
Practice address
408 3RD ST STE 107, FARMINGTON, MN 55024-1355
(176) 376-0213
(651) 390-6136
Mailing address
408 3RD ST STE 107, FARMINGTON, MN 55024-1355
(507) 649-2507
(651) 390-6136
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
04/04/2023
Last updated
09/02/2025
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