Individual
EDWARD J PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CYC, CIT-HS-00158
Contact information
Practice address
1521 MERRILL DRIVE, STE D220, LITTLE ROCK, AR 72211
(501) 666-8686
(501) 660-6830
Mailing address
PO BOX 251970, LITTLE ROCK, AR 72225
(501) 666-8686
(501) 660-6830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CIT-HS-00158
AR
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
11/09/2021
Last updated
07/20/2022
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