Healthcare Provider Details

I. General information

NPI: 1386577146
Provider Name (Legal Business Name): EBH CAPITAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9051 PLYMOUTH RD
SAINT PAUL MN
55129-3005
US

IV. Provider business mailing address

9051 PLYMOUTH RD
SAINT PAUL MN
55129-3005
US

V. Phone/Fax

Practice location:
  • Phone: 608-620-7897
  • Fax: 855-261-1913
Mailing address:
  • Phone: 608-620-7897
  • Fax: 855-261-1913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANDREA T HANSEN
Title or Position: FOUNDER
Credential: LPCC
Phone: 651-677-1198