Organization · Type 2 NPI
Mike Phillips LLC
Professional Counselor · Smyrna, GA
NPI number
1417414632
Active
Practice location
4015 S Cobb Dr SE
Smyrna, GA 30080-6303
Mailing address
353 Durand Falls Drive
Decatur, GA 30030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1417414632
Mike Phillips LLC's National Provider Identifier is 1417414632, issued on Feb 24, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Smyrna, GA. The record was last updated on Feb 28, 2019.