Organization
LIFE AND LIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKHIL KAISTHA (OWNER, LPCC)
(612) 399-9996
Entity
Organization
Contact information
Practice address
5851 CEDAR LAKE RD S STE 201, SAINT LOUIS PARK, MN 55416-1481
(612) 399-9996
Mailing address
3700 WOODDALE AVE S UNIT 18, ST LOUIS PARK, MN 55416-5162
(612) 399-9996
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
06/01/2024
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