Healthcare Provider Details

I. General information

NPI: 1477457281
Provider Name (Legal Business Name): ANNA ELISABETH HABY CROSBY LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1032 GRAND AVE # 202
SAINT PAUL MN
55105-3064
US

IV. Provider business mailing address

1032 GRAND AVE # 202
SAINT PAUL MN
55105-3064
US

V. Phone/Fax

Practice location:
  • Phone: 612-509-8629
  • Fax: 855-631-0412
Mailing address:
  • Phone: 612-509-8629
  • Fax: 855-631-0412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4891
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: