TONKA LIFE CENTER, LTD – Clinical Psychologist, NPI 1154988350

TONKA LIFE CENTER, LTD is a healthcare provider. based in Waconia, Minnesota. specializing in Clinical Psychologist. The NPI Number for TONKA LIFE CENTER, LTD is 1154988350

Main info

Organization
Name
TONKA LIFE CENTER, LTD
NPI
1154988350
Phone
(888) 209-0305
Address
400 10TH ST E
Authorized Official
BRIAN V NELSON OWNER LP, LSP
Enumeration Date
22 May 2019
Last Update Date
22 May 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

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Provider Addresses for TONKA LIFE CENTER, LTD

  • 10th Street, Somerwood Cottages, Waconia, Carver County, Minnesota, 55387, United States

    WACONIA, MN 553874552

    Phone: (888) 209-0305

    Fax: (952) 442-3620

    Type: Mailing

  • 1605, Wayzata Boulevard, Long Lake, Hennepin County, Minnesota, 55356, United States

    LONG LAKE, MN 553569300

    Phone: (888) 209-0305

    Fax: (952) 442-3620

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 55387)

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Frequently asked questions

What unique ID ties claims to TONKA LIFE CENTER, LTD?
NPI 1154988350 is assigned to TONKA LIFE CENTER, LTD under the national enumeration system.
Is TONKA LIFE CENTER, LTD's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize TONKA LIFE CENTER, LTD's specialty in plain language?
Clinically, the directory lists TONKA LIFE CENTER, LTD with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does TONKA LIFE CENTER, LTD practice in Minnesota?
You will see Waconia, Minnesota on file for TONKA LIFE CENTER, LTD alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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