PHILLIP THACKER BA
NPI 1659589216
Counselor - Mental Health in South Williamson, KY
Active since May 18, 2007
140 HOSPITAL DR, SOUTH WILLIAMSON, KY 41503(606) 237-9873(606) 237-9723 Get Directions Write a Review
About Phillip Thacker Ba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIP THACKER BA (NPI 1659589216) is an individual mental health provider in South Williamson, Kentucky and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1659589216
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePHILLIP THACKERCredential: BA
Location Address140 HOSPITAL DRSouth Williamson, KY 41503-4022
Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433
Phone(606) 237-9873
Fax(606) 237-9723
Sole ProprietorNo
Enumeration DateMay 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659589216 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
140 HOSPITAL DR, South Williamson, KY 41503
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659589216, enumerated as an "individual" on May 18, 2007.
The provider is located at 140 HOSPITAL DR SOUTH WILLIAMSON, KY 41503 and the phone number is (606) 237-9873.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
