Provider Demographics
NPI:1255466694
Name:PHUA'S COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:PHUA'S COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHUA
Authorized Official - Middle Name:XIONG
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:651-344-4931
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:651-344-4931
Mailing Address - Fax:651-472-5087
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:651-344-4931
Practice Address - Fax:651-472-5087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN122381OtherHPFIN
MN451L8PHOtherBCBS CONTRACTING NUMBER