| Doctor Name: | BRETT A PHILLIPS |
| NPI Number: | 1225048655 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW, LMHP |
| License Number: | 2674 |
| Business Practice Address: | 501 Tyson St Glenwood, IA - 515341735 |
| Business Phone Number: | 7125273030 |
| Business Fax Number: | |
| Mailing Address: | Po Box 163, GLENWOOD |
| State: | IA |
| Postal Code: | 515340163 |
| Phone Number: | 7125273030 |
| Fax Number: | |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2674 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |