Provider Demographics
NPI:1619570264
Name:COVE COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:COVE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:651-389-4413
Mailing Address - Street 1:3820 CLEVELAND AVE N STE 400
Mailing Address - Street 2:
Mailing Address - City:ARDEN HILLS
Mailing Address - State:MN
Mailing Address - Zip Code:55112-3297
Mailing Address - Country:US
Mailing Address - Phone:651-389-4413
Mailing Address - Fax:651-389-4414
Practice Address - Street 1:3820 CLEVELAND AVE N STE 400
Practice Address - Street 2:
Practice Address - City:ARDEN HILLS
Practice Address - State:MN
Practice Address - Zip Code:55112-3297
Practice Address - Country:US
Practice Address - Phone:651-389-4413
Practice Address - Fax:651-389-4414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty