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General NPI Number Information
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NPI Number | 1538869128
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Entity Type | Organization
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Legal Business Name | PHOENIX COUNSELING SOLUTIONS, LLC
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 15322 GALAXIE AVE STE 201
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City | APPLE VALLEY
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State | MN
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Zip | 55124-3149
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Country | US
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Telephone | 952-204-7433
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Fax |
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Provider Business Mailing Address
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Address Line | 19473 ELMWOOD CIR
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City | FARMINGTON
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State | MN
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Zip | 55024-7006
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HEATHER HISLOP-ANDERSON
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Credential | PHD., LPCC-S
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Telephone | 952-204-7433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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