Provider Demographics
NPI:1912443995
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:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:651-308-3120
Mailing Address - Street 1:529A OLD HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-8144
Mailing Address - Country:US
Mailing Address - Phone:651-308-3120
Mailing Address - Fax:
Practice Address - Street 1:293 COMO AVE
Practice Address - Street 2:STE 200
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55103-1842
Practice Address - Country:US
Practice Address - Phone:651-308-3120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage