Organization
PHILLIPS COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ELLEN PHILLIPS LCSW (OWNER)
(208) 467-4889
Entity
Organization
Contact information
Practice address
1224 1ST ST S, SUITE 307, NAMPA, ID 83651-3900
(208) 467-4889
(208) 467-4499
Mailing address
PO BOX 1606, NAMPA, ID 83653-1606
(208) 467-4889
(208) 467-4499
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
LCSW-28818
ID
261Q00000X
Clinic/Center
Primary
LCSW-28818
ID
261QR0400X
Rehabilitation Clinic/Center
LCSW-28818
ID
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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