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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PROVIDENCE SERVICES MN LLC
NPI 1013816677
Health and Wellness Coach in Saint Paul, MN

Active since November 02, 2026
566 EDMUND AVE, SAINT PAUL, MN 55103(651) 442-9485(651) 369-5600 Get Directions Write a Review

NPPES record added: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Providence Services Mn Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE SERVICES MN LLC (NPI 1013816677) is a healthcare organization registered as a health and wellness coach in Saint Paul, Minnesota and active in the NPI registry since November 2026. The organization lists Dominic Irabor, Owner, as its authorized official.

NPPES Registry Identity

NPI1013816677
Entity TypeOrganization
Primary Taxonomy171400000X
Legal Business NamePROVIDENCE SERVICES MN LLC
Location Address566 EDMUND AVESaint Paul, MN 55103-1682
Mailing Address566 Edmund Ave Apt 3Saint Paul, MN 55103-1683 · (651) 442-9485 · Fax (651) 369-5600
Phone(651) 442-9485
Fax(651) 369-5600
Organization SubpartNo
Authorized OfficialDominic IraborOwner · (651) 334-2100
Enumeration DateNovember 2, 2026
NPPES CertifiedNovember 2, 2026
✔ NPI 1013816677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth and Wellness CoachOther Service Providers
Taxonomy Code171400000X
Definition
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.
566 EDMUND AVE, Saint Paul, MN 55103
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Services Mn LLC's NPI number?

The NPI number for Providence Services Mn LLC is 1013816677. It was assigned to this organization in the NPPES registry on November 2, 2026.

Where is Providence Services Mn LLC located?

Providence Services Mn LLC is located at 566 Edmund Ave, Saint Paul, MN 55103. The listed phone number is (651) 442-9485.

What is Providence Services Mn LLC's specialty?

The primary specialty registered for this NPI is Health and Wellness Coach with taxonomy code 171400000X.

When was this NPI record last updated?

The NPPES record for Providence Services Mn LLC was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.