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Organization

ELIJAH INSTITUTE

Active
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Organization

ELIJAH INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA BRUBAKER (CEO)
(612) 240-3814
Entity
Organization

Contact information

Practice address
16224 HOMINY PATH, LAKEVILLE, MN 55044-3817
(952) 260-8447
Mailing address
7635 148TH ST W # 193, SAINT PAUL, MN 55124-7800
(952) 260-8447

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—

Other

Enumeration date
07/31/2026
Last updated
07/31/2026
About Stedi
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