| Doctor Name: | BETTIE A. PHILLIPS |
| NPI Number: | 1053478081 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | LPC0000001567 |
| Business Practice Address: | 15260 Sewanee Highway (rte41a) Sewanee, TN - 373750007 |
| Business Phone Number: | 9315985151 |
| Business Fax Number: | 9315922745 |
| Mailing Address: | Po Box 7, SEWANEE |
| State: | TN |
| Postal Code: | 373750007 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC0000001567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |