Organization
BRANCH OF LOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LADONNA PHILLIPS DNP, AGNP-C, PMHNP-B (NURSE PRACTITIONER)
(601) 498-8132
Entity
Organization
Contact information
Practice address
150 ELM ST, LAUREL, MS 39440-4545
(601) 498-8132
(207) 690-9382
Mailing address
150 ELM ST, LAUREL, MS 39440-4545
(601) 498-8132
(207) 690-9382
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
02/08/2021
Last updated
01/10/2026
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