Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brain Bleach Counseling PLLC

Organization Mental Health Counselor · NPI 1043170236

Brain Bleach Counseling PLLC is a Mental Health Counselor in Saint Cloud, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1851 Ladbrook Ln
Saint Cloud, MN 56303-4849
Phone: (712) 392-0953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1043170236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Hansen — Principle · (712) 392-0953
NPI enumeratedNovember 12, 2025
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address1851 Ladbrook Ln, Saint Cloud, MN 56303-4849

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