Organization
PHILLIPS COUNSELING PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN DAVID PHILLIPS LPC, MAMFC, NCC (COUNSELOR/THERAPIST)
(678) 779-8739
Entity
Organization
Contact information
Practice address
3324 INDEPENDENCE DR # 100, HOMEWOOD, AL 35209-5602
(205) 224-9181
(205) 484-9122
Mailing address
554 WHITTAKER PL, LEEDS, AL 35094-4928
(678) 779-8739
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3758
AL
Other
Enumeration date
11/07/2017
Last updated
03/17/2018
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