Phillips, Laura Marie
Phillips, Laura Marie is an sole proprietor health care provider with primary practice located at 116 Chestnut St E Suite 400, Stillwater MN 55082-5116. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Phillips, Laura Marie can be contacted via phone (651) 344-6204.Contact Information
Primary practice address
116 Chestnut St E Suite 400
Stillwater MN 55082-5116
Phone: (651) 344-6204
Fax: (651) 344-4949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1496 | Minnesota |
Profile Details
| NPI number | 1295836559 |
|---|---|
| LBN Legal business name | Phillips, Laura Marie |
| Credentials | M.A., LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Feb 17th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295836559 | NPPES |
| Minnesota | MEDICAID | 1295836559 |
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