Organization
SHARI PHILLIPS LLC
Active
Other names
Imagine Mental Health Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI LYNN PHILLIPS LPCC (OWNER/COUNSELOR)
(218) 640-7368
Entity
Organization
Contact information
Practice address
116 ASH AVE NW, SUITE 2, WADENA, MN 56482-1347
(218) 640-7368
Mailing address
310 3RD ST NW, WADENA, MN 56482-1118
(218) 640-7368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/29/2021
Last updated
07/17/2023
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