Mr Antony Stately, PHD, LP - Counselor in Minneapolis, MN

Mr Antony Stately, PHD, LP is a Counselor - Mental Health based in Minneapolis, Minnesota. Mr Antony Stately is licensed to practice in Minnesota (license number LP5258) and his current practice location is 1213 E Franklin Ave, Minneapolis, Minnesota. He can be reached at his office (for appointments etc.) via phone at (612) 872-8086.

NPI number for Mr Antony Stately is 1023303054 and his current mailing address is 1213 E Franklin Ave, Minneapolis, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023303054.

Contact Information

Mr Antony Stately, PHD, LP
1213 E Franklin Ave,
Minneapolis, MN 55404
(612) 872-8086
Not Available

Healthcare Provider's Profile

Full NameMr Antony Stately
GenderMale
SpecialityCounselor - Mental Health
Location1213 E Franklin Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023303054
  • Provider Enumeration Date: 06/17/2011
  • Last Update Date: 08/09/2018

Medical Identifiers

Medical identifiers for Mr Antony Stately such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023303054NPI-NPPES
LP5258OtherMNMN LIC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LP5258 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Antony Stately is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Antony Stately, PHD, LP
1213 E Franklin Ave,
Minneapolis, MN 55404-2923

Ph: (612) 872-8086
Mr Antony Stately, PHD, LP
1213 E Franklin Ave,
Minneapolis, MN 55404

Ph: (612) 872-8086

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› Verified 8 days ago


Counselor in Minneapolis, MN

Nelson Perez,
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Medicare: Not Enrolled in Medicare
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Phone: 612-746-3500    Fax: 612-871-1058
Daniel James Madsen, MA, LPCC
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Phone: 612-367-6929    
Claire Marie Olson, MA, LPCC
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Phone: 612-243-4108    Fax: 612-869-0313
Luke Yost,
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Phone: 507-530-5507    
Mrs. Carmody Alice Sime, LPCC, LADC
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Heather Grovum,
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Practice Location: 310 W 48th St, Minneapolis, MN 55419
Phone: 701-740-4783    
Sumaya Yusuf,
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Medicare: Not Enrolled in Medicare
Practice Location: 3300 5th St Ne Ste 201, Minneapolis, MN 55418
Phone: 651-855-8209    

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