Provider Demographics
NPI:1255488409
Name:BOTH AND RESOURCES PLLC
Entity Type:Organization
Organization Name:BOTH AND RESOURCES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIC. MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ANGELO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LICSW
Authorized Official - Phone:952-432-0043
Mailing Address - Street 1:7493 147TH ST W
Mailing Address - Street 2:SUITE 207
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-4505
Mailing Address - Country:US
Mailing Address - Phone:952-432-0043
Mailing Address - Fax:952-432-0809
Practice Address - Street 1:7493 147TH ST W
Practice Address - Street 2:SUITE 207
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-4505
Practice Address - Country:US
Practice Address - Phone:952-432-0043
Practice Address - Fax:952-432-0809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2008-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN07587104100000X
MN0768106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty