Phipps, Mildred Ladean
Phipps, Mildred Ladean is an individual health care provider with primary practice located at 284 Executive Park Dr Suite 100, Concord NC 28025-1831. 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 / Addiction (Substance Use Disorder) is her primary health care specialty. Phipps, Mildred Ladean can be contacted via phone (704) 939-1100.Contact Information
Primary practice address
284 Executive Park Dr Suite 100
Concord NC 28025-1831
Phone: (704) 939-1100
Fax: (704) 939-1173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 129 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3258 |
Profile Details
| NPI number | 1194909754 |
|---|---|
| LBN Legal business name | Phipps, Mildred Ladean |
| Credentials | LPC, LCAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2007 |
| Last updated | Jul 31st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194909754 | NPPES |
| North Carolina | MEDICAID | 6102362 |
Popular Providers
-
Sims, Kathy
300 Copperfield Blvd Ne Ste. 105, Concord NC 28025-2428 -
Mcgee, Teresa
300 Copperfield Blvd Ne Ste 105 , Concord NC 28025-2429 -
Venable, Peter Carrington
284 Executive Park Dr Ste 100 , Concord NC 28025-1833 -
Bell, Barbara Mcgee
35 Church St S # 106 , Concord NC 28025-3511 -
Ward, Brenda Robinson
212 Le Phillip Ct Suite 106, Concord NC 28025-2984 -
Johnson, Malcolm Campbell
1580 Dartmoor Ave Nw , Concord NC 28027 -
Bethea, Damion
300 Copperfield Blvd Ne Ste 105, Concord NC 28025-2428 -
Arenz, Rachelle Ann
284 Executive Park Dr Ste 100, Concord NC 28025-1831