Individual provider · Type 1 NPI
Wanda Shavon Phipps, MSP
Mental Health Counselor · Punta Gorda, FL
NPI number
1508521261
Active
Practice location
26371 Barranquilla Ave
Punta Gorda, FL 33983-5723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1508521261
Wanda Shavon Phipps, MSP's National Provider Identifier is 1508521261, issued on Nov 7, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Punta Gorda, FL. The record was last updated on Nov 8, 2021.