| Doctor Name: | MR. FLASH PHIPPS |
| NPI Number: | 1083772800 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC |
| License Number: | E0003607 |
| Business Practice Address: | 115 Private Road 997 Pedro, OH - 45659 |
| Business Phone Number: | 7405341386 |
| Business Fax Number: | 7405341516 |
| Mailing Address: | 115 Private Road 997, PEDRO |
| State: | OH |
| Postal Code: | 45659 |
| Phone Number: | 7405341386 |
| Fax Number: | 7405341516 |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 11/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E0003607 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |