Individual
HEATHER DAWN PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 639-0938
(606) 436-5797
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 639-0938
(859) 813-5394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
292037
KY
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/26/2014
Last updated
09/23/2024
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