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Life Development Resources, PA

Community/Behavioral Health Agency in Lakeville, MN · enumerated 2007 · authorized official Kim Ross, Program Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902953169

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Registry record

Entity type Organization (Type 2)
Legal business name Life Development Resources, PA
Practice address 7580 160th St W, Lakeville, MN, 55044
Fax (952) 435-6797
Enumeration date Jan 3, 2007
Last updated in NPPES Jan 18, 2025

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
103TC1900X Counseling Psychologist Behavioral Health & Social Service Providers Secondary
103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers Secondary
103TP2701X Group Psychotherapy Psychologist Behavioral Health & Social Service Providers Secondary
104100000X Social Worker Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary
251S00000X Community/Behavioral Health Agency Agencies Primary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
364SP0808X Psychiatric/Mental Health Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kim Ross
Title Program Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Life Development Resources, PA?
Life Development Resources, PA is registered in NPPES as a Community/Behavioral Health Agency (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-18.