Individual
MIRANDA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
6129 COUNTY ROAD 14, MIDLAND CITY, AL 36350-4253
(334) 983-2020
Mailing address
76 BARNES DR, ARITON, AL 36311-5058
(334) 402-1782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC04966
AL
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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