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

Behavioral Wellness Counseling Clinic, LLC

Organization Professional Counselor · NPI 1033545439

Behavioral Wellness Counseling Clinic, LLC provides Professional Counselor services in Prior Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14093 Commerce Ave NE
Prior Lake, MN 55372-1495 Not confirmed with CMS for 13 years — call before visiting
Phone: (952) 440-3100
Fax: (952) 440-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPCC (MN)

Record details

NPI number1033545439
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Kotval — Director · (952) 440-3100
Other names Behavioral Wellness
NPI enumeratedSeptember 18, 2013
Last updated in NPPESSeptember 18, 2013
Mailing address14093 Commerce Ave Ne, Prior Lake, MN 55372-1495

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