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TRAE ANTHONY PHILLIPS
NPI 1740974138
Clinic/Center - Mental Health (Including Community Mental Health Center) in Shawnee, OK

Active since June 07, 2023
429 N UNION AVE, SHAWNEE, OK 74801(405) 275-1844(405) 275-1124 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Trae Anthony Phillips NPPES

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

TRAE ANTHONY PHILLIPS (NPI 1740974138) is an individual mental health (including community mental health center) provider in Shawnee, Oklahoma, licensed in Oklahoma (L084049560) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1740974138
Entity TypeIndividualMale
Primary Taxonomy261QM0801X
Provider Legal NameTRAE ANTHONY PHILLIPS
Location Address429 N UNION AVEShawnee, OK 74801-7064
Mailing Address429 N Union AveShawnee, OK 74801-7064 · (405) 275-1844 · Fax (405) 275-1124
Phone(405) 275-1844
Fax(405) 275-1124
Sole ProprietorYes
Enumeration DateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1740974138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in OK · L084049560
429 N UNION AVE, Shawnee, OK 74801
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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.

ALYSSA FERGUSON
Case Manager/Care Coordinator
429 N UNION AVE
SHAWNEE, OK 74801
Pottawatomie County (316) 621-1081
RUSSEL AARON RAMSEY
Counselor
429 N UNION AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 275-1844
DOROTHY JANE LOWRY
Peer Specialist
429 N UNION AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 275-1844
ALYVIA FAITH DAVIS
Case Manager/Care Coordinator
429 N UNION AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 275-1844
OLIVIA HAZEL SOWARDS
Case Manager/Care Coordinator
429 N UNION AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 275-1844
LAUREN N HENDERSHOT
Counselor (Mental Health)
429 N UNION AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 275-1844
BRYNYN NICHOLE BROWN
Peer Specialist
429 N UNION AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 275-1844
DUFFIE HOLT
Clinic/Center (Mental Health (Including Community Mental Health Center))
429 N UNION AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 275-1124

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 Trae Phillips's NPI number?

The NPI number for Trae Phillips is 1740974138. It was assigned to this individual provider in the NPPES registry on June 7, 2023.

Where is Trae Phillips located?

Trae Phillips practices at 429 N Union Ave, Shawnee, OK 74801. The listed phone number is (405) 275-1844.

What is Trae Phillips's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Trae Phillips was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.