Provider Demographics
NPI:1568208734
Name:PURUSHA COUNSELING & CONSULTING, LLC
Entity type:Organization
Organization Name:PURUSHA COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARADA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:LAKHAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LP
Authorized Official - Phone:651-214-1355
Mailing Address - Street 1:1771 YANKEE DOODLE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-1780
Mailing Address - Country:US
Mailing Address - Phone:651-300-1959
Mailing Address - Fax:
Practice Address - Street 1:1771 YANKEE DOODLE RD STE 105
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-1780
Practice Address - Country:US
Practice Address - Phone:651-214-1355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-06
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty