Doctor Name: | BIANCA CHRISTINA PHILLIPS |
NPI Number: | 1174956239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 721 Highway 46 S Dickson, TN - 370552565 |
Business Phone Number: | 6154463797 |
Business Fax Number: | |
Mailing Address: | 1321 Vantage Pointe, Apt 207 ASHLAND CITY |
State: | TN |
Postal Code: | 370154068 |
Phone Number: | 3133331794 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2013 |
NPI Last Update Date: | 08/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |