| Doctor Name: | BERTHA M PHILLIPS |
| NPI Number: | 1336307750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DCC, LMSW |
| License Number: | LMSW 6218 |
| Business Practice Address: | 211 E Boundary St Chapin, SC - 290368386 |
| Business Phone Number: | 8033455047 |
| Business Fax Number: | 8033450112 |
| Mailing Address: | 211 E Boundary St, CHAPIN |
| State: | SC |
| Postal Code: | 290368386 |
| Phone Number: | 8033455047 |
| Fax Number: | 8033450112 |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | LMSW 6218 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |