Thao-ha Phan, MA, LMFT, LADC | |
13750 Crosstown Dr Nw Ste 10, Andover, MN 55304-5853 | |
(763) 265-3331 | |
(855) 221-4223 |
Full Name | Thao-ha Phan |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 13750 Crosstown Dr Nw Ste 10, Andover, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477919025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 303961 (Minnesota) | Secondary |
106H00000X | Marriage & Family Therapist | 3210 (Minnesota) | Primary |
Entity Name | Anchor Recovery Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649934993 PECOS PAC ID: 8820438443 Enrollment ID: O20240430002868 |
Mailing Address | Practice Location Address |
---|---|
Thao-ha Phan, MA, LMFT, LADC 13750 Crosstown Dr Nw Ste 10, Andover, MN 55304-5853 Ph: (763) 265-3331 | Thao-ha Phan, MA, LMFT, LADC 13750 Crosstown Dr Nw Ste 10, Andover, MN 55304-5853 Ph: (763) 265-3331 |
Kimberley Wobschall, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13750 Crosstown Dr Nw Ste 10, Andover, MN 55304 Phone: 763-250-7357 Fax: 855-221-4223 | |
Sophia C Pimsler, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598 | |
Alyssa Marie Doberstein, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2705 Bunker Lake Blvd Nw, Suite 100, Andover, MN 55304 Phone: 763-482-9598 | |
Allison Merriman, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 651-253-0599 | |
Luke Lynden Mclain, MS Couples Therapy Medicare: Medicare Enrolled Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598 Fax: 612-235-6447 | |
Pauline April Svare, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598 | |
Beth Ryland, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598 |