Individual provider · Type 1 NPI
Phillip Dwight Anthony, LPC, LCDC
Professional Counselor · Dallas, TX
NPI number
1366996498
Active
Practice location
4549 S Westmoreland Rd
Dallas, TX 75237-1015
Mailing address
2116 Cap Rock Ln
Grand Prairie, TX 75052-8819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 72908 (TX) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 8205 (TX) |
| Mental Health Counselor | 101YM0800X | 72908 (TX) |
| Professional Counselor Primary | 101YP2500X | 72908 (TX) |
| Behavior Analyst | 103K00000X | 72908 (TX) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1366996498
Phillip Dwight Anthony, LPC, LCDC's National Provider Identifier is 1366996498, issued on Aug 5, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Aug 5, 2016.