Provider Demographics
NPI:1164864989
Name:LRC COUNSELING, P.A.
Entity Type:Organization
Organization Name:LRC COUNSELING, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ROGNESS
Authorized Official - Last Name:CAO
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMFT
Authorized Official - Phone:612-730-4649
Mailing Address - Street 1:3903 MORNINGSIDE RD
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5024
Mailing Address - Country:US
Mailing Address - Phone:612-730-4649
Mailing Address - Fax:
Practice Address - Street 1:6950 FRANCE AVE S
Practice Address - Street 2:SUITE 215
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2008
Practice Address - Country:US
Practice Address - Phone:612-730-4649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2064251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health