PAUL PHILLIPS LCDC
NPI 1306293881
Counselor - Addiction (Substance Use Disorder) in Tyler, TX

Active since May 16, 2016
104 JORDAN PLAZA BLVD STE 402-403, TYLER, TX 75704(903) 581-9472 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul Phillips Lcdc NPPES

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

PAUL PHILLIPS LCDC (NPI 1306293881) is an individual addiction (substance use disorder) provider in Tyler, Texas, licensed in Texas (11128) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1306293881
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePAUL PHILLIPSCredential: LCDC
Location Address104 JORDAN PLAZA BLVD STE 402-403Tyler, TX 75704-2055
Mailing Address104 Jordan Plaza Blvd Ste 402-403Tyler, TX 75704-2055 · (903) 581-9472
Sole ProprietorYes
Enumeration DateMay 16, 2016
NPI 1306293881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in TX · 11128
104 JORDAN PLAZA BLVD STE 402-403, Tyler, TX 75704

Other Identifiers 1

Other11128TX · Texas State License Lcdc

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
104 JORDAN PLAZA BLVD STE 402-403
TYLER, TX 75704

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 Paul Phillips's NPI number?

The NPI number for Paul Phillips is 1306293881. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Paul Phillips located?

Paul Phillips practices at 104 Jordan Plaza Blvd Ste 402-403, Tyler, TX 75704. The listed phone number is (903) 581-9472.

What is Paul Phillips's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Paul Phillips was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.