Paul Phillips, LCDC - Counselor in Tyler, TX

Paul Phillips, LCDC is a Counselor - Addiction (substance Use Disorder) based in Tyler, Texas. Paul Phillips is licensed to practice in Texas (license number 11128) and his current practice location is 104 Jordan Plaza Blvd Ste 402-403, Tyler, Texas. He can be reached at his office (for appointments etc.) via phone at (903) 581-9472.

NPI number for Paul Phillips is 1306293881 and his current mailing address is 104 Jordan Plaza Blvd Ste 402-403, Tyler, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306293881.

Contact Information

Paul Phillips, LCDC
104 Jordan Plaza Blvd Ste 402-403,
Tyler, TX 75704-2055
(903) 581-9472
Not Available

Map and Direction


Healthcare Provider's Profile

Full NamePaul Phillips
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location104 Jordan Plaza Blvd Ste 402-403, Tyler, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306293881
  • Provider Enumeration Date: 05/16/2016
  • Last Update Date: 05/16/2016

Medical Identifiers

Medical identifiers for Paul Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306293881NPI-NPPES
11128OtherTXTEXAS STATE LICENSE LCDC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 11128 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Phillips is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Paul Phillips, LCDC
104 Jordan Plaza Blvd Ste 402-403,
Tyler, TX 75704-2055

Ph: (903) 581-9472
Paul Phillips, LCDC
104 Jordan Plaza Blvd Ste 402-403,
Tyler, TX 75704-2055

Ph: (903) 581-9472

Reviews and Comments


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