Healthcare Provider Details

I. General information

NPI: 1871466623
Provider Name (Legal Business Name): CTIONS & PROVIDERS HOUSING MGMT, PROFESSIONAL AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 WASHINGTON AVE N # 1521
MINNEAPOLIS MN
55401-1036
US

IV. Provider business mailing address

1251 WASHINGTON AVE N # 1521
MINNEAPOLIS MN
55401-1036
US

V. Phone/Fax

Practice location:
  • Phone: 612-401-7329
  • Fax: 763-218-7439
Mailing address:
  • Phone: 612-401-7329
  • Fax: 763-218-7439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 9
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. A DA'RON PHILLIPS SR.
Title or Position: PRESIDENT OWNER
Credential:
Phone: 612-401-7329