Provider Demographics
NPI:1982909214
Name:PHIPPS, DANNY C (DOCTOR OF MINISTRY)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:C
Last Name:PHIPPS
Suffix:
Gender:M
Credentials:DOCTOR OF MINISTRY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 VILLAGE RD # BOX
Mailing Address - Street 2:
Mailing Address - City:SHALLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28470-3435
Mailing Address - Country:US
Mailing Address - Phone:910-754-5727
Mailing Address - Fax:910-754-5797
Practice Address - Street 1:632 VILLAGE RD STE 1
Practice Address - Street 2:
Practice Address - City:SHALLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28470-3434
Practice Address - Country:US
Practice Address - Phone:910-754-5727
Practice Address - Fax:910-754-5797
Is Sole Proprietor?:No
Enumeration Date:2011-01-18
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC531101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health