Healthcare Provider Details

I. General information

NPI: 1568396745
Provider Name (Legal Business Name): LIONESS COUNSELING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14500 BURNHAVEN DR STE 100
BURNSVILLE MN
55306-4926
US

IV. Provider business mailing address

4740 190TH ST W
FARMINGTON MN
55024-7081
US

V. Phone/Fax

Practice location:
  • Phone: 651-230-5096
  • Fax:
Mailing address:
  • Phone: 651-230-5096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY STEVENS
Title or Position: THERAPIST
Credential:
Phone: 651-230-5096