Healthcare Provider Details

I. General information

NPI: 1346167293
Provider Name (Legal Business Name): CHELSIE RAE PRINSEN ATR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7767 ELM CREEK BLVD N STE 220
MAPLE GROVE MN
55369-7067
US

IV. Provider business mailing address

7767 ELM CREEK BLVD N STE 220
MAPLE GROVE MN
55369-7067
US

V. Phone/Fax

Practice location:
  • Phone: 612-460-5073
  • Fax:
Mailing address:
  • Phone: 612-460-5073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: