Individual
MRS. PHYLLIS G. FALCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
205 RIDGEWAY DR, GULFPORT, MS 39507-3920
(228) 806-0168
Mailing address
205 RIDGEWAY DRIVE, GULFPORT, MS 39507
(228) 806-0168
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1232
MS
Other
Enumeration date
11/24/2009
Last updated
04/12/2026
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