| Kelly Phillips Licsw Llc | |
|
130 College St Ste 107 South Hadley MA 01075-1532 | |
| (413) 360-8811 | |
| (413) 471-2546 |
| Full Name | Kelly Phillips Licsw Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 130 College St Ste 107, South Hadley, Massachusetts |
| Authorized Official Name and Position | Kelly J Phillips (OWNER/THERAPIST) |
| Authorized Official Contact | 4133608811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Phillips Licsw Llc 5 Oak Ave South Hadley MA 01075-2627 Ph: (508) 735-1696 | Kelly Phillips Licsw Llc 130 College St Ste 107 South Hadley MA 01075-1532 Ph: (413) 360-8811 |
| NPI Number | 1043933203 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043933203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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