Provider Demographics
NPI:1497430458
Name:HOLLINGSWORTH, ANTHONY GORDON (MA, LPCC)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:GORDON
Last Name:HOLLINGSWORTH
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Gender:M
Credentials:MA, LPCC
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Mailing Address - Street 1:4240 PARK GLEN RD
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5427
Mailing Address - Country:US
Mailing Address - Phone:612-925-6033
Mailing Address - Fax:612-925-8496
Practice Address - Street 1:6160 SUMMIT DR N STE 450
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-2121
Practice Address - Country:US
Practice Address - Phone:763-503-8560
Practice Address - Fax:763-503-8563
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2025-05-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN3870101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional