Individual provider · Type 1 NPI

Trae Anthony Phillips

Mental Health Clinic/Center (Including Community Mental Health Center) · Shawnee, OK

NPI number 1740974138 Active

Practice location

429 N Union Ave
Shawnee, OK 74801-7064

Call (405) 275-1844 Map

Fax (405) 275-1124

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XL084049560 (OK)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1740974138

Trae Anthony Phillips's National Provider Identifier is 1740974138, issued on Jun 7, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Shawnee, OK. The record was last updated on Jun 7, 2023.