MEDICARE: LOVING EMBRACE COUNSELING AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1881524551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING EMBRACE COUNSELING AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	1400 VAN BUREN ST NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-4605
Country	:	US
Telephone Number	:	651-203-8966
Fax Number	:	651-203-8966

Provider Business Practice Location Address
First Line	:	1400 VAN BUREN ST NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-4605
Country	:	US
Telephone Number	:	651-203-8966
Fax Number	:	651-203-8966

Authorized Official
Title or Position	:	OWNER
Name	:	NAAJEE DENNIS
Credential	:	DENNIS
Telephone Number	:	651-500-4878

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	06/22/2026

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