Provider Demographics
NPI:1578197430
Name:MCGRATH, PHYLLIS J (MS CAP)
Entity Type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:J
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:MS CAP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:99198 OVERSEAS HWY STE 3
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-2437
Mailing Address - Country:US
Mailing Address - Phone:305-434-7660
Mailing Address - Fax:305-451-8019
Practice Address - Street 1:99198 OVERSEAS HWY STE 3
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-2437
Practice Address - Country:US
Practice Address - Phone:305-434-7660
Practice Address - Fax:305-451-8019
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)