Individual
LINDA ELAINE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED LICENSED PROFESS
Contact information
Practice address
110 SKYLINE DRIVE, RUSSELLVILLE, AR 72801
(479) 968-1298
(479) 968-6053
Mailing address
350 SALEM ROAD, SUITE 1, CONWAY, AR 72034
(501) 336-8300
(501) 329-3572
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P8906008
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227040719
—
AR
Enumeration date
10/14/2006
Last updated
06/30/2025
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