Individual
ANDY LITTLETON PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
40 ROYAL OAK DR, PALM COAST, FL 32164-6994
(386) 586-7907
Mailing address
40 ROYAL OAK DRIVE, PALM COAST, FL 32164
(386) 302-7805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
RBT-23-289260
—
Other
Enumeration date
12/21/2016
Last updated
10/25/2023
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