Provider Demographics
NPI:1598380768
Name:JOY PHILLIPS REGISTERED PSYCHOTHERAPIST MSW LSW
Entity Type:Organization
Organization Name:JOY PHILLIPS REGISTERED PSYCHOTHERAPIST MSW LSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:C
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:720-210-3544
Mailing Address - Street 1:80 GARDEN CTR STE 104
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1779
Mailing Address - Country:US
Mailing Address - Phone:720-730-6490
Mailing Address - Fax:
Practice Address - Street 1:80 GARDEN CTR STE 104
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1779
Practice Address - Country:US
Practice Address - Phone:720-730-6490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty