=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003704990
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ELS COUNSELING SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/27/2025
-----------------------------------------------------
Last Update Date | 06/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18137 HIDDEN CREEK TRL
-----------------------------------------------------
City | LAKEVILLE
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55044-5353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 507-222-9193
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18137 HIDDEN CREEK TRL
-----------------------------------------------------
City | LAKEVILLE
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55044-5353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 507-222-9193
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MENTAL HEALTH PROFESSIONAL/CEO
-----------------------------------------------------
Name | EMILY JAYE LIKE SCHULEMAN
-----------------------------------------------------
Credential | LPCC, LMHC
-----------------------------------------------------
Telephone | 507-222-9193
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------