Individual
HEATHER PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3201 STELLHORN RD, FORT WAYNE, IN 46815-4697
(215) 645-2084
Mailing address
3201 STELLHORN RD, FORT WAYNE, IN 46815-4697
(260) 277-0473
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
99112912A
IN
106H00000X
Marriage & Family Therapist
Primary
35002466A
IN
106H00000X
Marriage & Family Therapist
F.2500484
OH
Other
Enumeration date
11/23/2022
Last updated
04/03/2026
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