Provider Demographics
NPI:1760098206
Name:ANNE ELISE PHILLIPS LMSW PLLC
Entity Type:Organization
Organization Name:ANNE ELISE PHILLIPS LMSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-205-0557
Mailing Address - Street 1:5507 FARMERS LN
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48301-1108
Mailing Address - Country:US
Mailing Address - Phone:248-205-0557
Mailing Address - Fax:
Practice Address - Street 1:5507 FARMERS LN
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48301-1108
Practice Address - Country:US
Practice Address - Phone:248-205-0557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty