| Doctor Name: | TONYA CHARISE PHILLIPS |
| NPI Number: | 1134438856 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-C,LCADC |
| License Number: | LCA1814 |
| Business Practice Address: | 2464 85th Medical Bn Avenue Aberdeen Proving Ground, MD - 20755 |
| Business Phone Number: | 3016777188 |
| Business Fax Number: | 3016775416 |
| Mailing Address: | 2464 85th Medical Bn Avenue, ABERDEEN PROVING GROUND |
| State: | MD |
| Postal Code: | 20755 |
| Phone Number: | 3016777188 |
| Fax Number: | 3016775416 |
| NPI Enumeration Date: | 09/29/2010 |
| NPI Last Update Date: | 09/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCA1814 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |