JUSTIN DAVID PHILLIPS (NPI# 1033630579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033630579 |
Entity Type | Individual |
Full Name | JUSTIN DAVID PHILLIPS |
Credential | MAMFC, NCC, ALC |
Practice Address |
3396 Mount Olive Rd Mount Olive AL 35117-3710 |
Mailing Address |
554 Whittaker Pl Leeds AL 35094-4928 |
Practice Telephone | 2056314126 |
Practice Fax Number | 2056314156 |
Mailing Telephone | 6787798739 |
Enumeration Date | 2017-07-06 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | C2365A | AL | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
3758 | AL | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
C2365A | AL | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
C2365A | AL | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
265 Curry Hwy, Jasper, AL 355037546 | 2053843501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891326559 | Justin Jerome Phillips | Community/Behavioral Health | 4021 Laclede Ave # 23211, Saint Louis, MO 63108-3271 | 2020-01-31 |
1598092462 | Justin Paul Phillips | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2009-11-12 |
1902056682 | Justin Wayne Phillips | Counselor | 4015 Allison Ln Apt 207, Springdale, AR 72762-0659 | 2008-09-30 |
1184812091 | Justin D. Phillips | Dentist | 2655 Cleveland Ave Ste B, Santa Rosa, CA 95403-2779 | 2007-10-05 |
1295821874 | Justin Ray Phillips | Chiropractor | 602 N. Broadway, Teucumseh, OK 74873 | 2006-10-04 |
1194120170 | Justin Phillips | Physical Therapy Assistant | 211 Ana Dr, Florence, AL 35630-1768 | 2014-11-03 |
1619258183 | Justin Phillips | Chiropractor | 7000 Lee Hwy, Suite 600, Chattanooga, TN 37421-1799 | 2011-08-29 |
1811287477 | Justin R. Phillips | Pharmacy Technician | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2011-04-15 |
1205150083 | Justin T. Phillips | Psychiatry & Neurology | 4950 Norton Healthcare Blvd, Suite 305, Louisville, KY 40241-2845 | 2010-03-23 |
1184853350 | Justin Phillips | Acupuncturist | 911 W 38th St, 200t, Austin, TX 78705-1188 | 2009-07-09 |
Street Address |
3396 MOUNT OLIVE RD |
City | MOUNT OLIVE |
State | AL |
Zip Code | 35117-3710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437705498 | Sammie J Butler | Technician | 5005 Southerland Rd, Mt Olive, AL 35117 | 2019-08-15 |
1427124049 | Shafaat Ahmed | Orthopaedic Surgery | 1121 Mason Ave, Daytona Beach Florida, Daytona Bch, FL 35117 | 2006-11-27 |
1114365335 | Angels Giving Back Senior Care | Home Health | 4489 Canterbury St, Mount Olive, AL 35117-3119 | 2013-06-10 |
1174674907 | Darrell Ziroli | Physician Assistant | 695 Powers Cir, Mount Olive, AL 35117-3243 | 2007-01-16 |
1699770248 | Anita H. Pritchett | Pharmacist | 520 Springdale Rd, Mount Olive, AL 35117-3263 | 2005-06-20 |
1356816888 | Lisa Shea Miller | Counselor | 4741 Gardenia Trce, Mount Olive, AL 35117-3461 | 2018-10-11 |
1245886712 | Incite & Inspire Counseling, LLC | Counselor | 4741 Gardenia Trce, Mount Olive, AL 35117-3461 | 2019-08-12 |
1588915607 | Rebekah Sue Myrick | Midwife | 6477 Water Works Rd, Mount Olive, AL 35117-3506 | 2012-09-28 |
1992722755 | The Children's Hospital of Alabama | Pediatrics | 470 Taylor Road, Suite 210, Montgomery, AL 35117-3532 | 2006-07-17 |
1578606679 | Mary Jane Curtin | Speech-Language Pathologist | 6260 Dorsett Woods Dr, Mount Olive, AL 35117-3644 | 2007-02-15 |
Find all providers in zip 35117 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265924773 | Juie Wall | Counselor | 110 S Center St, Mount Olive, NC 28365-2124 | 2018-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487254280 | William Russell Glass | Counselor | 1002 Gant Hill Rd, Scottsboro, AL 35769-4128 | 2020-10-29 |
1144820184 | Caroline Kidd | Counselor | 6134 Longmeadow Cir, Trussville, AL 35173-3605 | 2020-10-29 |
1649879131 | Laura Elaine Porter-morris | Counselor | 30 Payton Ct, Millbrook, AL 36054-1888 | 2020-10-26 |
1962002386 | Jeffery Scott Neaves | Counselor | 440 Massey Rd, Locust Fork, AL 35097-5940 | 2020-10-26 |
1336748086 | Katherine Bridges | Counselor | 6475 Spanish Fort Blvd Ste B, Spanish Fort, AL 36527-9403 | 2020-10-23 |
1629677596 | Linda Jean Hayes | Counselor | 2146 Carson Court, Mobile, AL 36695 | 2020-10-22 |
1962017160 | Erin Guffey | Counselor | 12750 Mill Creek Dr, Northport, AL 35473-7882 | 2020-09-14 |
1043824014 | Magee Madry Counseling Services, LLC | Counselor | 2719 Apsley Way Sw, Decatur, AL 35603-3367 | 2020-09-07 |
1710591086 | Carrie Allen | Counselor | 222 Kyser Blvd Apt 73, Madison, AL 35758-2307 | 2020-09-03 |
1396357810 | Laura Stisher Counseling, LLC | Counselor | 11591 Jade Ln Se, Huntsville, AL 35803-1576 | 2020-08-17 |
Find all providers with the same taxonomy |
City | MOUNT OLIVE |
Zip Code | 35117 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.