Individual
ANGELA LACYNDA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
602 N BROADWAY ST, TECUMSEH, OK 74873-2020
(405) 585-3833
Mailing address
PO BOX 589, TECUMSEH, OK 74873-0589
(405) 296-3334
(405) 957-2288
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6747
OK
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316319510
INDIVIDUAL NPI
OK
01
—
134602
EAST CENTRAL UNIVERSITY
OK
01
—
6747
LPC LICENSED
OK
Enumeration date
10/27/2015
Last updated
03/26/2026
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