| Ryan Phillips Lpc, L.l.c. | |
|
15273a Milldale Rd Zachary LA 70791-8013 | |
| (225) 278-6178 | |
| Not Available |
| Full Name | Ryan Phillips Lpc, L.l.c. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 15273a Milldale Rd, Zachary, Louisiana |
| Authorized Official Name and Position | Ryan Dale Phillips (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2252786178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Phillips Lpc, L.l.c. 15273a Milldale Rd Zachary LA 70791-8013 Ph: (225) 278-6178 | Ryan Phillips Lpc, L.l.c. 15273a Milldale Rd Zachary LA 70791-8013 Ph: (225) 278-6178 |
| NPI Number | 1952784647 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 07/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952784647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 5379 (Louisiana) | Primary |
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