Doctor Name: | MS. RENITA J. PHILLEY |
NPI Number: | 1548232242 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.E. |
License Number: | 88-19E |
Business Practice Address: | 700 South Ave Hot Springs, AR - 719133423 |
Business Phone Number: | 5016205139 |
Business Fax Number: | 5016205109 |
Mailing Address: | Po Box 6399, HOT SPRINGS |
State: | AR |
Postal Code: | 719026399 |
Phone Number: | 5016205139 |
Fax Number: | 5016205109 |
NPI Enumeration Date: | 02/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 88-19E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |