Individual
AMBER BROOKE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
4601 LAKE BOONE TR., SUITE 3A, RALEIGH, NC 27607
(919) 709-7307
Mailing address
631 LOMU RIDGE RD APT 204, RALEIGH, NC 27606-6375
(336) 290-3016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019254
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082004
BLUE CROSS BLUE SHIELD
NC
Enumeration date
01/04/2023
Last updated
07/11/2023
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