Organization
ANOINTED LIVING
Active
Organization
ANOINTED LIVING
Active
Other names
ANOINTED LIVING BEHAVIORAL HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
TA-TANISHA HAWKINS LICSW (CEO)
(612) 478-2628
Entity
Organization
Contact information
Practice address
5601 QUEBEC AVE N APT 103A, NEW HOPE, MN 55428-3383
(612) 478-2628
Mailing address
716 COUNTY ROAD 10 NE # 232, BLAINE, MN 55434-2331
(612) 478-2628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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