MICHELLE MARIE PHILLIPS (NPI# 1790022820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790022820 |
Entity Type | Individual |
Full Name | MICHELLE MARIE PHILLIPS |
Credential | LPCA |
Practice Address |
5108 Reagan Dr Ste 14 Charlotte NC 28206-1395 |
Mailing Address |
3309 Streamside Dr Davidson NC 28036-9503 |
Practice Telephone | 7045960505 |
Practice Fax Number | 7045960507 |
Mailing Telephone | 7047284364 |
Enumeration Date | 2013-01-09 |
Last Update Date | 2013-01-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
A9169 | NC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356717177 | Michelle Phillips | Licensed Practical Nurse | 21219 Kenyon Dr, Maple Heights, OH 44137-2450 | 2015-08-16 |
1063722585 | Michelle Evans Phillips | Nurse Practitioner | 116 Shirley Ln, Boiling Springs, PA 17007-9593 | 2010-10-18 |
1437328978 | Michelle Archer Phillips | Marriage & Family Therapist | 333 Fairhaven Ct, Newbury Park, CA 91320-5021 | 2008-02-28 |
1134313018 | Michelle Ann Phillips | Dietitian, Registered | 222 Pone Ln, Franklin, PA 16323-3542 | 2007-09-04 |
1376696948 | Michelle Marie Phillips | Physical Therapist | 1521 E Costilla Ave, Centennial, CO 80122-1381 | 2007-01-18 |
1891876108 | Michelle V. Phillips | Dentist | 3 Eaglet Ct, Pleasanton, CA 94566-6974 | 2006-10-17 |
1518519511 | Michelle R Phillips | Nurse Practitioner | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2019-07-10 |
1376007427 | Michelle Phillips | Nurse Practitioner | 211 Crawford Memorial Dr, Van Buren, AR 72956-5322 | 2019-01-23 |
1265930259 | Michelle Phillips | Counselor | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2018-01-25 |
1629599287 | Michelle Nicole Phillips | Emergency Medicine | 2601 Gene George Blvd, Springdale, AR 72762 | 2017-07-03 |
Street Address |
5108 REAGAN DR STE 14 |
City | CHARLOTTE |
State | NC |
Zip Code | 28206-1395 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992317689 | Melanie Rice | Social Worker | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2020-08-23 |
1548887300 | Madeline Reed Alexander | Social Worker | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2020-06-28 |
1447882519 | Diane Jones Tomlin | Counselor | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2020-02-06 |
1356984223 | Mamata Gurung | Counselor | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2019-10-23 |
1760038954 | Sade' Tinsley | Counselor | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2019-08-13 |
1750944062 | Yolanda Mainor | Social Worker | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2019-04-22 |
1639732092 | Robert Johnson | Specialist | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2019-04-20 |
1003376914 | Raquan Moser | Psychologist | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2019-03-25 |
1174007553 | Deanna Carvalho | Marriage & Family Therapist | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2018-09-20 |
1174027759 | Audrey Copeland | Social Worker | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2018-03-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
1609433291 | Life Interrupted Counseling Services | Counselor | 4045 N Tryon St Ste A, Charlotte, NC 28206 | 2019-05-20 |
1295141216 | Taqiyah Camyah Barber | Prosthetic/Orthotic Supplier | 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 | 2014-07-10 |
1386976033 | Olugboyega Remi Fisher | Community Health Worker | 1801 N.tryon Street, Suiteb114, Charlotte, NC 28206 | 2010-02-05 |
1821225699 | Alzenia Kelly Morris | Counselor | 1801 N Tryon Street Ste 339, Charlotte, NC 28206 | 2009-06-18 |
1942479936 | American Current Care of North Carolina PC | Clinic/Center | 2835 Jeff Adams Drive, Suite A, Charlotte, NC 28206 | 2008-02-25 |
1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
1255479135 | Tameka Denise Jenkins | Counselor | 1600 Norris Ave., Charlotte, NC 28206 | 2007-02-02 |
1871655803 | Dwight Hollier | Counselor | 1801 North Tryon Street, Suite 309, Charlotte, NC 28206 | 2006-12-15 |
1093213621 | Mishelle L Lockerby | Counselor | 5108 Reagan Dr, Charlotte, NC 28206 | 2018-01-29 |
Find all providers in zip 28206 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972104008 | Kay Counseling, Pllc | Counselor | 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 | 2020-11-04 |
1588265144 | Blakeney Behavioral Health LLC | Counselor | 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 | 2020-11-02 |
1386243046 | Choice Counseling & Consulting, Pllc | Counselor | 9716 Rea Rd # B1167, Charlotte, NC 28277-6789 | 2020-10-22 |
1831797448 | Kiara Grier | Counselor | 6724 Lynmont Dr, Charlotte, NC 28212-5817 | 2020-10-15 |
1285231530 | Aliyah Shea Grinage | Counselor | 8815 University East Dr Ste 100, Charlotte, NC 28213-4106 | 2020-10-08 |
1386251213 | Silver Lining Counseling | Counselor | 3315 Springbank Ln Ste 302, Charlotte, NC 28226-3198 | 2020-09-24 |
1851907364 | Clarissa Jackson | Counselor | 10140 Hawkeye Dr, Charlotte, NC 28273-4536 | 2020-09-20 |
1437764529 | Kristyn Bly | Counselor | 6929 Weirton Pl, Charlotte, NC 28226-9502 | 2020-09-15 |
1740892546 | Marketa Winfield | Counselor | 7405 Hamilton Bridge Rd, Charlotte, NC 28278-6734 | 2020-08-21 |
1336751874 | Charidi Lyn Jamison | Counselor | 2730 E Wt Harris Blvd Ste 201, Charlotte, NC 28213-4063 | 2020-08-17 |
Find all providers in CHARLOTTE |
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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.