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

Intentional Self Counseling, Coaching, and Consultation

Organization Community/Behavioral Health Agency · NPI 1760892244

Intentional Self Counseling, Coaching, and Consultation is a Community/Behavioral Health Agency in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014

Practice location Address checks out

1154 Grand Ave Ste 2
Saint Paul, MN 55105-2628
Phone: (763) 228-4752
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 1939 (MN)

Record details

NPI number1760892244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Lemke Ebenhoch — Owner · (763) 228-4752
NPI enumeratedMay 5, 2014
Last updated in NPPESMay 5, 2014
Mailing address2547 Dahl Ave E, Maplewood, Saint Paul, MN 55119-6500

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