| Doctor Name: | MS. JOANNA PHILLIPS |
| NPI Number: | 1649517848 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSW |
| License Number: | |
| Business Practice Address: | 602 E 5th St Mount Carmel, IL - 628632152 |
| Business Phone Number: | 6182627473 |
| Business Fax Number: | 6182628810 |
| Mailing Address: | 504 Micah Dr, Drawer M OLNEY |
| State: | IL |
| Postal Code: | 624504720 |
| Phone Number: | 6183954306 |
| Fax Number: | 6183954507 |
| NPI Enumeration Date: | 01/08/2013 |
| NPI Last Update Date: | 01/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| 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 |