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NPI 1417863259

NPI 1417863259 : EMBODIED COUNSELING SERVICES LLC : NORTHFIELD, MN

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General NPI Number Information
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    NPI Number           |    1417863259
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMBODIED COUNSELING SERVICES LLC 
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Dates
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    Enumeration Date     |    08/21/2026
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    Last Update Date     |    08/21/2026
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Provider Practice Location Address
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    Address Line         |    401 DIVISION ST S STE F 
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    City                 |    NORTHFIELD
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    State                |    MN
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    Zip                  |    55057-2096
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    Country              |    US
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    Telephone            |    952-261-5493
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    401 DIVISION ST S STE F 
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    City                 |    NORTHFIELD
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    State                |    MN
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    Zip                  |    55057-2096
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    Country              |    US
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    Telephone            |    952-261-5493
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LINDSEY  FARMER 
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    Credential           |    MA, LPCC
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    Telephone            |    952-261-5493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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