Mr Anthony Gordon Hollingsworth, MA, LPCC | |
6160 Summit Dr N Ste 450, Brooklyn Center, MN 55430-2121 | |
(763) 503-8560 | |
(763) 503-8563 |
Full Name | Mr Anthony Gordon Hollingsworth |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 6160 Summit Dr N Ste 450, Brooklyn Center, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497430458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3870 (Minnesota) | Primary |
Entity Name | Hiawatha Valley Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184606337 PECOS PAC ID: 7113026998 Enrollment ID: O20070619000625 |
Mailing Address | Practice Location Address |
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Mr Anthony Gordon Hollingsworth, MA, LPCC 4240 Park Glen Rd, St Louis Park, MN 55416-5427 Ph: (612) 925-6033 | Mr Anthony Gordon Hollingsworth, MA, LPCC 6160 Summit Dr N Ste 450, Brooklyn Center, MN 55430-2121 Ph: (763) 503-8560 |
Julie Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7203 Perry Ct E, Brooklyn Center, MN 55429 Phone: 612-540-0643 | |
Mr. Matthew Louis Schaut, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4408 69th Ave N, Brooklyn Center, MN 55429 Phone: 763-566-3650 Fax: 763-566-4217 | |
Heather Louise Carriere, MED, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430 Phone: 763-569-5201 Fax: 763-569-5240 | |
Lamia Mohamed Abdirahman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7203 Perry Ct E, Brooklyn Center, MN 55429 Phone: 612-540-0643 | |
Abdullahi M Hassan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6040 Earle Brown Dr Ste 300, Brooklyn Center, MN 55430 Phone: 612-707-7530 | |
Steven Schnell, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 5615 Brooklyn Blvd, Suite 105, Brooklyn Center, MN 55429 Phone: 763-531-0566 Fax: 763-531-0602 | |
Lorene Michelle Stewart, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 County Road 10 Ste 100, Brooklyn Center, MN 55429 Phone: 763-515-9154 Fax: 612-444-3292 |