Individual
DENISE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PCMHT
Contact information
Practice address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
Mailing address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017
MISSISSPPI DEPARTMENT OF MENTAL HEALTH
MS
Enumeration date
02/10/2009
Last updated
02/10/2009
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