Ronald Keith Phillips
Individual provider Active NPI Professional Counselor · Cowpens, SC
NPI 1457979650 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1457979650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6192 (SC)
- Practice address
- 148 Oakstone Rd
Cowpens, SC 29330-9636 - Phone
- (864) 316-2792
- NPI assigned
- Jul 14, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6192 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Baptist Church | Professional | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6192 | SC | Yes |
Addresses
Primary practice location
148 Oakstone Rd
Cowpens, SC 29330-9636
Mailing address
148 Oakstone Rd
Cowpens, SC 29330-9636
Phone (864) 316-2792
Other providers in Cowpens, SC
- Krolick Wellness, LLC
- Mary Black Health System LLC
- Mary Black Physicians Group LLC
- Mary Black Physicians Group, LLC
- Lina A Miraziz
- Sherry B Starnes
- Walgreen Co
- Mary Ellen Watts
All providers in Cowpens, SC · Professional Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.