Healthcare Provider Details

I. General information

NPI: 1245058080
Provider Name (Legal Business Name): DXV COUNSELING, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 UNIVERSITY AVE W
SAINT PAUL MN
55103-2016
US

IV. Provider business mailing address

341 UNIVERSITY AVE W
SAINT PAUL MN
55103-2016
US

V. Phone/Fax

Practice location:
  • Phone: 952-299-7330
  • Fax: 651-647-1075
Mailing address:
  • Phone: 952-299-7330
  • Fax: 651-647-1075

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 Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DOUA XIONG VANG
Title or Position: LICENSED PROFESSIONAL CLINICAL COUN
Credential: MA
Phone: 952-299-7330