Provider Demographics
NPI:1871466623
Name:CTIONS & PROVIDERS HOUSING MGMT, PROFESSIONAL AGENCY
Entity type:Organization
Organization Name:CTIONS & PROVIDERS HOUSING MGMT, PROFESSIONAL AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:A
Authorized Official - Middle Name:DA'RON
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:612-401-7329
Mailing Address - Street 1:1251 WASHINGTON AVE N # 1521
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-1036
Mailing Address - Country:US
Mailing Address - Phone:612-401-7329
Mailing Address - Fax:763-218-7439
Practice Address - Street 1:1251 WASHINGTON AVE N # 1521
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401-1036
Practice Address - Country:US
Practice Address - Phone:612-401-7329
Practice Address - Fax:763-218-7439
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHILLIPS HOLDINGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-27
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
No101200000XBehavioral Health & Social Service ProvidersDrama TherapistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty
No177F00000XOther Service ProvidersLodging
No251300000XAgenciesLocal Education Agency (LEA)
No251S00000XAgenciesCommunity/Behavioral Health