Individual
SHARON PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRP
Contact information
Practice address
5040 SNAPFINGER WOODS DR STE 206, DECATUR, GA 30035-4020
(404) 975-4684
(404) 592-6438
Mailing address
5040 SNAPFINGER WOODS DR STE 201, DECATUR, GA 30035-4020
(404) 975-4685
(404) 592-6438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
4894340
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4894340
PSYCHIATRIC REHABILITATION ASSOCIATION
—
Enumeration date
01/24/2019
Last updated
06/20/2023
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