Provider Demographics
NPI:1508339821
Name:INTEGRATIVE WELLNESS COUNSELING LLC
Entity Type:Organization
Organization Name:INTEGRATIVE WELLNESS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HANIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARB
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED, LPCC, NCC
Authorized Official - Phone:612-567-9045
Mailing Address - Street 1:1575 7TH ST W STE 104
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-4252
Mailing Address - Country:US
Mailing Address - Phone:612-567-9045
Mailing Address - Fax:
Practice Address - Street 1:1575 7TH ST W STE 104
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-4252
Practice Address - Country:US
Practice Address - Phone:612-567-9045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty