Provider Demographics
NPI:1285511097
Name:GAJA COUNSELING
Entity type:Organization
Organization Name:GAJA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SAVIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMBHU
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:503-734-6736
Mailing Address - Street 1:400 S 4TH ST STE 410 #764480
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1419
Mailing Address - Country:US
Mailing Address - Phone:503-734-6736
Mailing Address - Fax:
Practice Address - Street 1:3724 LYNDALE AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55409-1127
Practice Address - Country:US
Practice Address - Phone:503-734-6736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)