Individual
KELLY G PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
108 OAKMONT DR, GREENVILLE, NC 27858-5936
(252) 355-2801
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-9034
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1175
NC
Other
Enumeration date
05/23/2007
Last updated
06/24/2024
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