Individual
TANISHA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
240 EISENHOWER DR STE C2, BILOXI, MS 39531-3649
(601) 342-0413
Mailing address
1850 POPPS FERRY RD APT B220, BILOXI, MS 39532-2063
(225) 810-8277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2086
MS
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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