Doctor Name: | TRICIA L PHILLIPS |
NPI Number: | 1649344995 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC, CCJP |
License Number: | 2005038745 |
Business Practice Address: | 13160 County Rd. 3610 St. James, MO - 655599989 |
Business Phone Number: | 5732653251 |
Business Fax Number: | 5732658363 |
Mailing Address: | 11825 Private Drive 5136, ROLLA |
State: | MO |
Postal Code: | 654015909 |
Phone Number: | 5736471746 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 09/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2005038745 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |