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:
Map and Directions
Authorized official contact:
Name: Swanson, Tracy Lee Kaye LPCC
Phone: (651) 242-9608

Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649644634 NPPES
Minnesota MEDICAID 1629138417
Minnesota MEDICAID 1225262496
Minnesota MEDICAID 1114091709
Minnesota MEDICAID 1154562205

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