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Organization
MIKE PHILLIPS LLC
Active
Organization
MIKE PHILLIPS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHRISTOPHER PHILLIPS LPC (ORANGANIZER)
(404) 274-4688
Entity
Organization
Contact information
Practice address
4015 S COBB DR SE, SMYRNA, GA 30080-6303
(404) 274-4688
Mailing address
353 DURAND FALLS DRIVE, DECATUR, GA 30030
(404) 274-4688
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/24/2019
Last updated
02/28/2019
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