Search › Minnesota › 1041C0700X
Linda Phanthavong, LICSW
NPI 1508747791 · on the registry since 2025 · sole proprietor
Practice
- Address
- 5555 Boone Ave N
New Hope, MN 55428 - Phone
- (651) 774-0011
- Fax
- (651) 774-0606
- Organisation at this address
- People Incorporated
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 47
Additional practice sites
- 6400 74th Ave N, Brooklyn Park, MN
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota