Healthcare Provider Details
I. General information
NPI: 1609691245
Provider Name (Legal Business Name): VIBE INTEGRATED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/19/2024
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6542 REGENCY LN STE 213
EDEN PRAIRIE MN
55344-7848
US
IV. Provider business mailing address
5241 132ND CT
SAVAGE MN
55378-2410
US
V. Phone/Fax
- Phone: 952-214-1638
- Fax: 952-497-2359
- Phone: 763-218-8602
- Fax: 952-495-2359
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ASHLEY
MARIE
SOLBERG
Title or Position: OWNER
Credential: LMFT
Phone: 763-218-8602