1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Counselor
  6. NPI Profile

TRACI BLALOCK PHILLIPS B.S. M.S. DMIN.
NPI 1467906784
Counselor - Pastoral in Detroit, MI

Active since August 04, 2016
1121 E MCNICHOLS RD, DETROIT, MI 48203(313) 365-3113(313) 365-3098 Get Directions Write a Review

NPPES record last updated: August 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Traci Blalock Phillips B.s. M.s. Dmin. NPPES

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

TRACI BLALOCK PHILLIPS B.S. M.S. DMIN. (NPI 1467906784) is an individual pastoral provider in Detroit, Michigan and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1467906784
Entity TypeIndividualFemale
Primary Taxonomy101YP1600X
Provider Legal NameTRACI BLALOCK PHILLIPSCredential: B.S. M.S. DMIN.
Location Address1121 E MCNICHOLS RDDetroit, MI 48203-2857
Mailing Address1121 E Mcnichols RdDetroit, MI 48203-2857 · (313) 365-3113 · Fax (313) 365-3098
Phone(313) 365-3113
Fax(313) 365-3098
Sole ProprietorNo
Enumeration DateAugust 4, 2016
✔ NPI 1467906784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
1121 E MCNICHOLS RD, Detroit, MI 48203
Open in Google Maps ↗

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.

JEREMY ALAN WILMOT
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100
KIMBERLY JAN GLENN
Counselor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 324-8900
MS. JACQUELINE DENISE DOUGLAS
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (616) 365-3100
MR. JAY ANDRE YOUNG SR.
Case Manager/Care Coordinator
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100
MR. RODNEY ALLEN DUNCAN
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (616) 365-3100
JOHN LEWIS EBERHART CAC-I
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100
MRS. FELICIA D BEARD
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (616) 365-3100
T'MANDO ALLEN DENSON-EL SR.
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100

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 Traci Phillips's NPI number?

The NPI number for Traci Phillips is 1467906784. It was assigned to this individual provider in the NPPES registry on August 4, 2016.

Where is Traci Phillips located?

Traci Phillips practices at 1121 E Mcnichols Rd, Detroit, MI 48203. The listed phone number is (313) 365-3113.

What is Traci Phillips's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Traci Phillips was last updated on August 4, 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.