Provider Demographics
NPI:1952855579
Name:RHONNA W PHILLIPS COUNSELING & THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:RHONNA W PHILLIPS COUNSELING & THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRIVATE PRACTICE
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONNA
Authorized Official - Middle Name:W
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:205-356-9834
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 STE 101
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-3166
Practice Address - Country:US
Practice Address - Phone:205-356-9834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1643251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health