| Doctor Name: | PHYLLIS E PUGH |
| NPI Number: | 1417960279 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, CSAC |
| License Number: | 0710101505 |
| Business Practice Address: | 200 Medical Dr Suite A Hampton, VA - 236661763 |
| Business Phone Number: | 7577880200 |
| Business Fax Number: | 7577880950 |
| Mailing Address: | 300 Medical Dr, 2nd Floor HAMPTON |
| State: | VA |
| Postal Code: | 236661765 |
| Phone Number: | 7577880092 |
| Fax Number: | 7577880969 |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 11/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 0710101505 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |