# ELIJAH INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043133770
- **Authorized official:** REBECCA BRUBAKER (CEO)
- **Authorized official phone:** (612) 240-3814

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2026
- **Last updated:** 07/31/2026