Healthcare Provider Details

I. General information

NPI: 1124760897
Provider Name (Legal Business Name): MING-AN LIU MC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA LIU MC, LPC

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 E PECOS RD STE 307
GILBERT AZ
85295-3203
US

IV. Provider business mailing address

4539 N 22ND ST STE R
PHOENIX AZ
85016-4639
US

V. Phone/Fax

Practice location:
  • Phone: 480-993-2754
  • Fax:
Mailing address:
  • Phone: 480-372-9353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-20942
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: