Healthcare Provider Details

I. General information

NPI: 1366233918
Provider Name (Legal Business Name): INSIGHTFUL COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3209 W 76TH ST
EDINA MN
55435-5246
US

IV. Provider business mailing address

7041 HIGHOVER CT S
CHANHASSEN MN
55317-7569
US

V. Phone/Fax

Practice location:
  • Phone: 952-395-4967
  • Fax:
Mailing address:
  • Phone: 612-709-2100
  • 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: CATHERINE ANN MOLENAAR
Title or Position: OWNER
Credential: LPCC
Phone: 612-709-2100