Integrated Life Counseling Center, Pllc is a Counselor Clinic in Lake Elmo, Minnesota. It is located at 8931 33rd Street N, Lake Elmo, MN and its contact number is 651-242-9608. The authorized person for Integrated Life Counseling Center, Pllc is Ms. Tracy Lee Kaye Swanson
who is Director Of Communications of the clinic and his/her contact number is 651-242-9608. The primary license number for Integrated Life Counseling Center, Pllc is LP3782 (Clinical) in Minnesota. Integrated Life Counseling Center, Pllc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Integrated Life Counseling Center, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Integrated Life Counseling Center, Pllc
Specialization:
Professional Counselor
Clinic Address:
8931 33rd Street N, Lake Elmo, Minnesota, 55042-8900
Phone:
651-242-9608
Fax:
651-756-8138
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Tracy Lee Kaye Swanson
Position:
Director Of Communications
Contact Number:
651-242-9608
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Integrated Life Counseling Center, Pllc clinic are as mentioned below.
NPI Number:
1649644634
NPI Enumeration Date:
14 Nov, 2015
NPI Last Update On:
02 Sep, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Integrated Life Counseling Center, Pllc are as mentioned below.
Specialization
License Number
State
Status
Clinical
LP3782
Minnesota
Primary
Professional
CC00241
Minnesota
Secondary
Marriage & Family Therapist
920
Minnesota
Secondary
Marriage & Family Therapist
2005
Minnesota
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1629138417
Medicaid
Minnesota
1225262496
Medicaid
Minnesota
1114091709
Medicaid
Minnesota
1154562205
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Integrated Life Counseling Center, Pllc 8931 33rd Street N, Lake Elmo, Minnesota
Zip:
55042-8900
Phone Number:
651-242-9608
Fax Number:
651-756-8138
Patients can reach Integrated Life Counseling Center, Pllc at 8931 33rd Street N, Lake Elmo, Minnesota or can call to book an appointment on 651-242-9608. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.