Individual
BRYAN S PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2323 S SHEPHERD DR STE 850, HOUSTON, TX 77019-7022
(713) 309-6763
Mailing address
12503 HAZELWOOD LN, HOUSTON, TX 77077-2913
(972) 898-5860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
40300
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405325801
—
TX
05
—
405325802
—
TX
05
—
405325803
—
TX
Enumeration date
05/30/2006
Last updated
06/28/2023
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