Integrated Life Counseling Center, Pllc
LBN: Integrated Life Counseling Center, Pllc
Integrated Life Counseling Center, Pllc is an health care organization with primary practice located at 8931 33Rd Street N , Lake Elmo MN 55042-8900. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Integrated Life Counseling Center, Pllc can be contacted via phone (651) 242-9608, or through Swanson, Tracy Lee Kaye via phone (651) 242-9608.
Contact Information
Primary practice address
8931 33Rd Street N
Lake Elmo MN 55042-8900
Phone: (651) 242-9608
Fax: (651) 756-8138
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | CC00241 | Minnesota |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP3782 | Minnesota |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 920 | Minnesota |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2005 | Minnesota |
Profile Details
NPI number | 1649644634 |
---|---|
LBN Legal business name | Integrated Life Counseling Center, Pllc |
DBA Doing business as | |
Authorized official | Swanson, Tracy Lee Kaye LPCC |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 14th, 2015 |
Last updated | Sep 2nd, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649644634 | NPPES |
Minnesota | MEDICAID | 1629138417 | |
Minnesota | MEDICAID | 1225262496 | |
Minnesota | MEDICAID | 1114091709 | |
Minnesota | MEDICAID | 1154562205 |
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