Individual
MR. PHILLIPPE LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, NCC, APC, CAMS-2
Contact information
Practice address
1515 GARDEN WOOD DR, COLLEGE PARK, GA 30349-6285
(786) 547-0519
Mailing address
1515 GARDEN WOOD DR, COLLEGE PARK, GA 30349-6285
(786) 547-0519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC004975
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APC004975
—
GA
Enumeration date
01/25/2016
Last updated
01/25/2016
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