Provider Demographics
NPI:1902267784
Name:ANNA VOGEL COUNSELING LLC
Entity Type:Organization
Organization Name:ANNA VOGEL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:O
Authorized Official - Last Name:VOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:612-518-1701
Mailing Address - Street 1:5009 CLEAR SPRING RD
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-3312
Mailing Address - Country:US
Mailing Address - Phone:612-518-1701
Mailing Address - Fax:
Practice Address - Street 1:5275 EDINA INDUSTRIAL BLVD STE 124
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2903
Practice Address - Country:US
Practice Address - Phone:612-518-1701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2159101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty