Sharon Phillips, MA

Individual provider Active NPI Mental Health Counselor · Centerville, MN

NPI 1821413634 · NPPES record last updated Mar 3, 2014

Key facts

NPI
1821413634
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
7041 20TH Ave
Centerville, MN 55038-9737
Phone
(651) 407-3631
Fax
(651) 407-3751
NPI assigned
Mar 3, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Family Innovations, Inc. Past
since Aug 6, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

7041 20TH Ave
Centerville, MN 55038-9737

Mailing address

7041 20TH Ave
Centerville, MN 55038-9737
Phone (651) 407-3631

Other providers in Centerville, MN

All providers in Centerville, MN · Mental Health Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.