Phillips, Gwendolyn
Phillips, Gwendolyn is an individual health care provider with primary practice located at 1280 N Congress Ave , West Palm Beach FL 33409-6377. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Phillips, Gwendolyn can be contacted via phone (561) 228-1598.Contact Information
Primary practice address
1280 N Congress Ave
West Palm Beach FL 33409-6377
Phone: (561) 228-1598
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ADC-012635-2016 | Florida |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | IMH 9889 | Florida |
Profile Details
NPI number | 1730411638 |
---|---|
LBN Legal business name | Phillips, Gwendolyn |
Credentials | M.A, MCAP, IMH 9889 |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 2010 |
Last updated | Feb 22nd, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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