Provider Demographics
NPI:1285996520
Name:HANDYHELPLLC
Entity type:Organization
Organization Name:HANDYHELPLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PHIA
Authorized Official - Middle Name:TONY
Authorized Official - Last Name:XIONG
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:651-260-8707
Mailing Address - Street 1:366 MAPLE ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-5504
Mailing Address - Country:US
Mailing Address - Phone:651-260-8707
Mailing Address - Fax:651-330-4077
Practice Address - Street 1:366 MAPLE ISLAND RD
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-5504
Practice Address - Country:US
Practice Address - Phone:651-260-8707
Practice Address - Fax:651-330-4077
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANDYHELPLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN17877251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health