Provider Demographics
NPI:1184490336
Name:EMBRACING POSSIBILITY COUNSELING
Entity type:Organization
Organization Name:EMBRACING POSSIBILITY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHOUA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOR
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:651-269-8849
Mailing Address - Street 1:2233 HAMLINE AVE N STE 509
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-5003
Mailing Address - Country:US
Mailing Address - Phone:612-440-8591
Mailing Address - Fax:478-739-4205
Practice Address - Street 1:1285 HAMLINE AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55108-2534
Practice Address - Country:US
Practice Address - Phone:651-269-8849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)