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 provides Professional Counselor services 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 Not confirmed with CMS for 10 years — call before visiting
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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