Healthcare Provider Details

I. General information

NPI: 1669272035
Provider Name (Legal Business Name): TRUE ESSENCE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2025
Last Update Date: 03/15/2025
Certification Date: 03/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2035 COUNTY ROAD D E
MAPLEWOOD MN
55109-5301
US

IV. Provider business mailing address

495 FRED ST
SAINT PAUL MN
55130-4526
US

V. Phone/Fax

Practice location:
  • Phone: 651-399-7023
  • Fax:
Mailing address:
  • Phone: 651-399-7023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHIN THAO
Title or Position: DIRECTOR
Credential: LICSW
Phone: 651-399-7023