Provider Demographics
NPI:1407184948
Name:PHILHOWER, BRENDA LEIGH
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:LEIGH
Last Name:PHILHOWER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6793 SW HWY #200
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-7057
Mailing Address - Country:US
Mailing Address - Phone:352-237-7623
Mailing Address - Fax:352-237-7623
Practice Address - Street 1:6793 SW HWY #200
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-7057
Practice Address - Country:US
Practice Address - Phone:352-237-7623
Practice Address - Fax:352-237-7623
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-20
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0542AD5243101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)