Phylicia R. Boles

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Thomasville, NC

NPI 1679237663 · NPPES record last updated Jun 13, 2022

Key facts

NPI
1679237663
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1301 National Hwy
Thomasville, NC 27360-2317
Phone
(336) 472-8230
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

1301 National Hwy
Thomasville, NC 27360-2317

Mailing address

1301 National Hwy
Thomasville, NC 27360-2317
Phone (912) 401-1511

Other providers in Thomasville, NC

All providers in Thomasville, NC · Addiction (Substance Use Disorder) Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.