LAURA NOELLE PHILLIPS LCSW
NPI 1689367724
Counselor - Mental Health in Tonawanda, NY
Active since June 02, 2023
About Laura Noelle Phillips Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURA NOELLE PHILLIPS LCSW (NPI 1689367724) is an individual mental health provider in Tonawanda, New York, licensed in New York (094309) and active in the NPI registry since June 2023.
NPPES Registry Identity
NPI1689367724
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAURA NOELLE PHILLIPSCredential: LCSW
Location Address107 PRYOR AVETonawanda, NY 14150-8318
Mailing Address107 Pryor AveTonawanda, NY 14150-8318 · (716) 474-9046
Phone(716) 474-9046
Sole ProprietorYes
Enumeration DateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1689367724 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 094309
107 PRYOR AVE, Tonawanda, NY 14150
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689367724, enumerated as an "individual" on June 02, 2023.
The provider is located at 107 PRYOR AVE TONAWANDA, NY 14150 and the phone number is (716) 474-9046.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
