# INTEGRATIVE COUNSELING SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1548970825
- **Authorized official:** CRYSTAL LEE NELSON MA, LMFT (LICENSED MARRIAGE & FAMILY THERAPIS)
- **Authorized official phone:** (612) 245-5229

## Contact information

- **Practice address:** 4524 46TH AVE S, MINNEAPOLIS, MN 55406-3620
- **Practice address phone:** (612) 245-5229
- **Mailing address:** 4524 46TH AVE S, MINNEAPOLIS, MN 55406-3620
- **Mailing address phone:** (612) 245-5229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 11/28/2022
- **Last updated:** 09/06/2023