Provider Demographics
NPI:1639797921
Name:PHILLIPS, APRIL S (BSHA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:S
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:BSHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 E JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-6113
Mailing Address - Country:US
Mailing Address - Phone:478-274-3012
Mailing Address - Fax:478-274-7948
Practice Address - Street 1:103 MERCER DR STE B
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-4257
Practice Address - Country:US
Practice Address - Phone:478-274-7949
Practice Address - Fax:478-274-7948
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker