Healthcare Provider Details

I. General information

NPI: 1538869128
Provider Name (Legal Business Name): PHOENIX COUNSELING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15322 GALAXIE AVE STE 201
APPLE VALLEY MN
55124-3149
US

IV. Provider business mailing address

19473 ELMWOOD CIR
FARMINGTON MN
55024-7006
US

V. Phone/Fax

Practice location:
  • Phone: 952-204-7433
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. HEATHER HISLOP-ANDERSON
Title or Position: OWNER
Credential: PHD., LPCC-S
Phone: 952-204-7433