Active NPI
Phillips Client Services Inc.
- Professional Counselor
- Russellville, AR
National Provider Identifier
1699105841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P9702005
- Legal business name
- PHILLIPS CLIENT SERVICES INC.
- Practice address
- 1110 W B St
Suite G
Russellville, AR 72801-3506 - Phone
- (479) 747-0137
- Fax
- (866) 596-4582
- NPI assigned
- Nov 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alvin Jeffery Phillips, LPC
- Title
- President
- Phone
- (479) 747-0137
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P9702005 | AR | Primary |
Addresses
Primary practice location
1110 W B St
Suite G
Russellville, AR 72801-3506
Mailing address
PO Box 456
Russellville, AR 72811-0456
Phone (479) 747-0137
National Provider Directory
National Provider DirectoryLocations
1110 W B St
Ste G
Russellville, AR 72801
Phone (479) 747-0137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385251200000",
"number": "1699105841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 456",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728110456",
"telephone_number": "479-747-0137",
"fax_number": "866-596-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 W B ST",
"address_2": "SUITE G",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728013506",
"telephone_number": "479-747-0137",
"fax_number": "866-596-4582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILLIPS CLIENT SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-24",
"last_updated": "2013-11-24",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "ALVIN",
"authorized_official_middle_name": "JEFFERY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "479-747-0137",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P9702005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.