Healthcare Provider Details

I. General information

NPI: 1396531943
Provider Name (Legal Business Name): EMILY HRABE LPCC, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 UNIVERSITY AVE W STE 229N
SAINT PAUL MN
55114-1902
US

IV. Provider business mailing address

20708 JAGUAR AVE
LAKEVILLE MN
55044-9389
US

V. Phone/Fax

Practice location:
  • Phone: 651-645-3115
  • Fax: 651-645-2752
Mailing address:
  • Phone: 651-276-4601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCC04932
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: