Phoenixrisen Counseling

Specialty details in registry · Eden Prairie, MN

Call (612) 201-1919 Directions

At a glance

6640 Shady Oak Rd Ste 451, Eden Prairie, MN 55344-7834

NPPES record updated Oct 2, 2025. Public records can lag behind changes at a practice.

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Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

6640 Shady Oak Rd Ste 451
Eden Prairie, MN 55344-7834

Professional details: NPI, taxonomy & registry record

NPI1124902960

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QM0850X
Enumeration date: Aug 4, 2025
Record updated: Oct 2, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM0850X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

6640 Shady Oak Rd Ste 451
Eden Prairie, MN 55344-7834

Phone: (612) 201-1919

Mailing address

16315 ICE CIRCLE DR

WAYZATA, MN 553912323

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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