Healthcare Provider Details

I. General information

NPI: 1417863259
Provider Name (Legal Business Name): EMBODIED COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 DIVISION ST S STE F
NORTHFIELD MN
55057-2096
US

IV. Provider business mailing address

401 DIVISION ST S STE F
NORTHFIELD MN
55057-2096
US

V. Phone/Fax

Practice location:
  • Phone: 952-261-5493
  • Fax:
Mailing address:
  • Phone: 952-261-5493
  • Fax:

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

VIII. Authorized Official

Name: LINDSEY FARMER
Title or Position: OWNER
Credential: MA, LPCC
Phone: 952-261-5493