Provider Demographics
NPI:1215600861
Name:ADELL, PHILIP (LPC)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:
Last Name:ADELL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:PHIL
Other - Middle Name:
Other - Last Name:ADELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:12338 COUNTY ROAD 136
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-2585
Mailing Address - Country:US
Mailing Address - Phone:214-557-9337
Mailing Address - Fax:
Practice Address - Street 1:1506 N GREENVILLE AVE STE 200
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-8693
Practice Address - Country:US
Practice Address - Phone:214-509-6888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-29
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83550101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health