JUSTIN WAYNE PHILLIPS LPC
NPI 1902056682
Counselor in Springdale, AR
- Individual
- Male
- Counselor
About JUSTIN PHILLIPS
This page provides the complete NPI Profile along with additional information for Justin Phillips, a provider established in Springdale, Arkansas with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1902056682 assigned on September 2008. The practitioner's primary taxonomy code is 101Y00000X with license number P1107048 (AR). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1902056682 Verify this NPI
- Provider Name
- JUSTIN WAYNE PHILLIPS LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1672 SOUTH 48TH STREET SUITE B SPRINGDALE, AR 72762
- Location Phone
- (479) 202-6300
- Location Fax
- (479) 202-6300
- Mailing Address
- 1672 SOUTH 48TH STREET SUITE B SPRINGDALE, AR 72762
- Mailing Phone
- (479) 202-6300
- Mailing Fax
- (479) 202-6300
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-30-2008
- Last Update Date
- 03-11-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- P1107048
- License State
- AR
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | A0711095 (AR) |
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Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
SPRINGDALE, AR 72762
SPRINGDALE, AR 72762
SPRINGDALE, AR 72762
SPRINGDALE, AR 72762
SPRINGDALE, AR 72762
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902056682, enumerated as an "individual" on September 30, 2008.
The provider is located at 1672 SOUTH 48TH STREET SUITE B SPRINGDALE, AR 72762 and the phone number is (479) 202-6300.
Counselor with taxonomy code 101Y00000X.
