Provider Demographics
NPI:1952697260
Name:LAMPEIN CONSULTING GROUP, INC.
Entity Type:Organization
Organization Name:LAMPEIN CONSULTING GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEF
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:HARDWICK
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV, MS, LMFT
Authorized Official - Phone:612-388-9525
Mailing Address - Street 1:PO BOX 43370
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-0370
Mailing Address - Country:US
Mailing Address - Phone:612-388-9525
Mailing Address - Fax:612-486-8726
Practice Address - Street 1:3300 BASS LAKE ROAD
Practice Address - Street 2:SUITE 320-D
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-3066
Practice Address - Country:US
Practice Address - Phone:612-388-9525
Practice Address - Fax:612-486-8726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-24
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1170106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty