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
Fax: (651) 344-4949
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295836559 NPPES
Minnesota MEDICAID 1295836559

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