Provider Demographics
NPI:1225181704
Name:HMONG AMERICAN FAMILY COUNSELING SERVICES
Entity Type:Organization
Organization Name:HMONG AMERICAN FAMILY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VUE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:651-343-5929
Mailing Address - Street 1:23 EMPIRE DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103-1856
Mailing Address - Country:US
Mailing Address - Phone:651-343-5929
Mailing Address - Fax:651-458-5255
Practice Address - Street 1:23 EMPIRE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55103-1856
Practice Address - Country:US
Practice Address - Phone:651-343-5929
Practice Address - Fax:651-458-5255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1470251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN108960OtherHEALTH PARTNERS
MNI366OtherUCARE
MN1356492250Medicaid
MN62-46883OtherMEDICA
MN160G1HMOtherBLUE CROSS BLUE SHIELD