Doctor Name: | PHILLIPS H. HEWETT |
NPI Number: | 1154447894 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SAC |
License Number: | |
Business Practice Address: | 1120 7 Lks N West End, NC - 273769756 |
Business Phone Number: | 9106739111 |
Business Fax Number: | 9106736202 |
Mailing Address: | 1120 7 Lks N, Po Box 9 WEST END |
State: | NC |
Postal Code: | 273769756 |
Phone Number: | 9106739111 |
Fax Number: | 9106736202 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |