# SHARI PHILLIPS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Imagine Mental Health Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023691896
- **Authorized official:** SHARI LYNN PHILLIPS LPCC (OWNER/COUNSELOR)
- **Authorized official phone:** (218) 640-7368

## Contact information

- **Practice address:** 116 ASH AVE NW, SUITE 2, WADENA, MN 56482-1347
- **Practice address phone:** (218) 640-7368
- **Mailing address:** 310 3RD ST NW, WADENA, MN 56482-1118
- **Mailing address phone:** (218) 640-7368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/29/2021
- **Last updated:** 07/17/2023