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PHYLICIA BONHAM
NPI 1184381766
Nurse Practitioner - Psychiatric/Mental Health in Charleston, SC

Active since November 18, 2021
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 285-9670 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 18, 2022, Dec 20, 2021, Nov 18, 2021 (3 updates tracked since 2021).

About Phylicia Bonham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLICIA BONHAM (NPI 1184381766) is an individual psychiatric/mental health provider in Charleston, South Carolina, licensed in South Carolina (25848) and active in the NPI registry since November 2021. She maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1184381766
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePHYLICIA BONHAM
Location Address171 ASHLEY AVECharleston, SC 29425-8908
Mailing Address171 Ashley AveCharleston, SC 29425-8908 · (843) 285-9670
Phone(843) 285-9670
Sole ProprietorNo
Enumeration DateNovember 18, 2021
Last NPPES UpdateApril 18, 20223 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1184381766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in SC · 25848
171 ASHLEY AVE, Charleston, SC 29425
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Secondary Practice Location 1

Location 1109 Bee StCharleston, SC 29401-5703 · Phone (843) 577-5011

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN REED WORD M.D.
Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHRISTOPHER ARNOLD HENSLEY CRNA
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
ANGELINA INDIRA PHILLIPS
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
BLAKE DANIEL FORCINA
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHELSEA LEE CRUISE SW
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
DR. RICHARD HAYDEN JONES MD
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
LINDSEY HENDRICKSON NP
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
MICHAEL DAMASO DE GUZMAN
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phylicia Bonham's NPI number?

The NPI number for Phylicia Bonham is 1184381766. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Where is Phylicia Bonham located?

Phylicia Bonham practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 285-9670.

What is Phylicia Bonham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Phylicia Bonham was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.