Provider Demographics
NPI:1790713196
Name:PHILLIPS, RHONNA WHITE (LPC LMFT)
Entity Type:Individual
Prefix:MS
First Name:RHONNA
Middle Name:WHITE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 26387
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35260-0387
Mailing Address - Country:US
Mailing Address - Phone:205-356-9834
Mailing Address - Fax:
Practice Address - Street 1:1320 ALFORD AVE
Practice Address - Street 2:101
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226
Practice Address - Country:US
Practice Address - Phone:205-356-9834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1643101YP2500X
ALL230101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL95733OtherBCBS