Organization
CANVAS HEALTH, INC.
Active
Other names
Human Services, Inc In Washington County
Organization subpart
No
Provider details
NPI number
Authorized official
KHU THAO MSW, PSYD, LICSW, LP (COO)
(651) 251-5042
Entity
Organization
Contact information
Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1029858
PREFERRED ONE
MN
01
—
106221
PMAP U-CARE
MN
01
—
313930
VALUE OPTIONS
MN
01
—
56706HU
BLUE CROSS BLUE SHIELD
MN
05
—
7948557000
—
MN
01
—
8461062
UNITED BEHAVIORAL HEALTH
MN
Enumeration date
05/18/2006
Last updated
12/27/2023
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