MRS. KATIE MARIE PHILLIPS (NPI# 1164726824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164726824 |
| Entity Type | Individual |
| Full Name | MRS. KATIE MARIE PHILLIPS |
| Credential | MS |
| Practice Address |
2339 Lake Park Dr Albany GA 31707-3360 |
| Practice Telephone | 2295530992 |
| Practice Fax Number | 2296386302 |
| Mailing Telephone | 2292553099 |
| Mailing Fax Number | 2296386302 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2019-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 208144244 | 208144244 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124476650 | Katie Marie Phillips | Case Manager/Care Coordinator | 1316 W 1st St, Lead Hill, AR 72644-9476 | 2016-05-25 |
| 1700403631 | Katie Phillips | Social Worker | 809 N 19th St, Middlesboro, KY 40965 | 2020-06-26 |
| 1417597394 | Katie Marie Phillips | Physical Therapist | 25 Ridgewood Rd, Springfield, VT 05156-3050 | 2020-01-08 |
| 1902445679 | Katie L Phillips | Advanced Practice Midwife | 1415 Portland Ave Ste 400, Rochester, NY 14621-3022 | 2019-12-30 |
| 1255984696 | Katie Renee Phillips | Behavior Technician | 3400 State St Ste G750, Salem, OR 97301-7012 | 2019-07-23 |
| 1760800544 | Katie Phillips | Otolaryngology | 3113 Bellevue Ave, Cincinnati, OH 45219-3158 | 2014-03-31 |
| 1225316953 | Katie Lynn Phillips | Optometrist | 7101 Cedar Springs Blvd, Louisville, KY 40291-2587 | 2011-07-29 |
| 1124209234 | Katie Erin Phillips | Physical Therapy Assistant | 5275 Millennium Dr Nw, Huntsville, AL 35806-2457 | 2007-11-16 |
| Street Address |
2339 LAKE PARK DR |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-3360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602164 | Leslie Cannon Presley | Speech-Language Pathologist | 2339 Lake Park Dr, Albany, GA 31707-3360 | 2018-06-13 |
| 1174031389 | Amanda Roberts | Counselor | 2339 Lake Park Dr, Albany, GA 31707-3131 | 2018-01-22 |
| 1023405271 | Journey Counseling and Psyhological Services, LLC | Speech-Language Pathologist | 2339 Lake Park Dr, Albany, GA 31707-3131 | 2015-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659937142 | Karen Marie | Counselor | 2225 Pacific Blvd Se Ste 211, Albany, OR 97321-7904 | 2019-05-10 |
| 1902461098 | Lisa Kim Cleveland | Counselor | 123 N Westover Blvd, Albany, GA 31707-2949 | 2019-05-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1871070912 | Nashiya Hodge | Counselor | 1907 Stuart Ave, Albany, GA 31707-1705 | 2018-07-21 |
| 1578096525 | Breakthrough Psychotherapeutic Solutions, LLC | Counselor | 323 Pine Ave Ste 204, Albany, GA 31701-2587 | 2017-04-06 |
| 1578094611 | Frank Moore Jr. | Counselor | 2529 Hill St Se, Albany, OR 97322-4266 | 2017-03-21 |
| 1366990418 | Cameron Walker Sr. | Counselor | 1600 Devon Dr, Albany, GA 31721-7117 | 2016-09-19 |
| 1972978740 | Queen E Hall | Counselor | 1809 Dorchester Dr, Albany, GA 31721-2971 | 2015-12-04 |
| 1215320049 | Catharine Varn Field | Counselor | 2402 Dawson Rd Ste 4, Albany, GA 31707-2380 | 2015-03-18 |
| 1063820967 | Kenneth Tyrone Walker | Counselor | 127 Autumn Leaf Dr, Albany, GA 31701-4799 | 2014-07-24 |
| Find all providers in ALBANY | ||||
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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.