Individual
DAVAUGHN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 S I 10 SERVICE RD W STE 215, METAIRIE, LA 70001-7436
(504) 301-9990
Mailing address
3431 REPUBLIC ST, NEW ORLEANS, LA 70122-2348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
13528
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/13/2016
Last updated
05/16/2025
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