Healthcare Provider Details

I. General information

NPI: 1881524551
Provider Name (Legal Business Name): LOVING EMBRACE COUNSELING AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 VAN BUREN ST NE
MINNEAPOLIS MN
55413-4605
US

IV. Provider business mailing address

1400 VAN BUREN ST NE
MINNEAPOLIS MN
55413-4605
US

V. Phone/Fax

Practice location:
  • Phone: 651-203-8966
  • Fax: 651-203-8966
Mailing address:
  • Phone: 651-203-8966
  • Fax: 651-203-8966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NAAJEE DENNIS
Title or Position: OWNER
Credential: DENNIS
Phone: 651-500-4878