Healthcare Provider Details

I. General information

NPI: 1518883560
Provider Name (Legal Business Name): CEIBA COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 MITCHELL RD STE 315
EDEN PRAIRIE MN
55344-1958
US

IV. Provider business mailing address

7525 MITCHELL RD STE 315
EDEN PRAIRIE MN
55344-1958
US

V. Phone/Fax

Practice location:
  • Phone: 612-440-7429
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: BRENNA MUNOZ
Title or Position: OWNER
Credential: LICSW, LADC
Phone: 612-440-7429