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

Integrated Life Counseling Center, PLLC

Organization Professional Counselor · NPI 1649644634

Integrated Life Counseling Center, PLLC is a Professional Counselor in Lake Elmo, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
Specialties on file
4
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

8931 33rd St N
Lake Elmo, MN 55042-8900
Phone: (651) 242-9608
Fax: (651) 756-8138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP3782 (MN)
Professional Counselor Taxonomy 101YP2500X · Licence CC00241 (MN)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 920 (MN)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 2005 (MN)

Record details

NPI number1649644634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Swanson — Director Of Communications · (651) 242-9608
NPI enumeratedNovember 14, 2015
Last updated in NPPESSeptember 2, 2016
Mailing address8931 33rd Street N, Lake Elmo, MN 55042-8900

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