Provider Demographics
NPI:1013719970
Name:WATER LILY COUNSELING INC.
Entity type:Organization
Organization Name:WATER LILY COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBOLEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC
Authorized Official - Phone:612-701-4175
Mailing Address - Street 1:11000 SUNDANCE RDG
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-1004
Mailing Address - Country:US
Mailing Address - Phone:612-701-4175
Mailing Address - Fax:
Practice Address - Street 1:11000 SUNDANCE RDG
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-1004
Practice Address - Country:US
Practice Address - Phone:612-701-4175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WATER LILY COUNSELING INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)