Organization
PHILLIPSSIMS WELLNESS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENISHA PHILLIPS PHD, LCPC, NCC (OWNER/CEO/PSYCHOTHERAPIST)
(312) 450-1238
Entity
Organization
Contact information
Practice address
960 W CULLERTON ST APT 2C, CHICAGO, IL 60608-3480
(312) 766-0668
(815) 264-5190
Mailing address
1440 W TAYLOR ST, CHICAGO, IL 60607-4623
(312) 766-0668
(815) 264-5190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0800X
Psychiatry Physician
—
—
225100000X
Physical Therapist
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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