TERRANCE PHILLIS (NPI# 1073096673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073096673 |
| Entity Type | Individual |
| Full Name | TERRANCE PHILLIS |
| Credential | MFT T BA |
| Practice Address |
3094 W Market St Ste 105 Fairlawn OH 44333-3617 |
| Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
| Practice Telephone | 4402608300 |
| Mailing Telephone | 4402342006 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | M.1800120-TRNE | OH | Behavioral Health & Social Service Providers |
| Street Address |
3094 W MARKET ST STE 105 |
| City | FAIRLAWN |
| State | OH |
| Zip Code | 44333-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407137946 | Nicole D West | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333 | 2011-08-29 |
| 1588262315 | Lauren Baker | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-10-14 |
| 1184231854 | Matthew C Neal | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-28 |
| 1871100909 | Candice Braham | Social Worker | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-23 |
| 1548874878 | Courtney Anne James | Social Worker | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-03 |
| 1013521582 | Katerina Heppe | Marriage & Family Therapist | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-02 |
| 1497388805 | Dolores Hammerling | Peer Specialist | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-02-14 |
| 1164066676 | Carly Chapman | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2019-10-29 |
| 1598315517 | Salvatore M Ruggeri | Social Worker | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2019-09-12 |
| 1134778889 | Alexa Russell | Case Management | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2019-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1619468105 | Yellow Creek Primary Care, Inc. | Family Medicine | 3453 Granger Rd, Akron, OH 44333 | 2018-05-21 |
| 1336655984 | Laura Ann Starkey | Nurse Practitioner | 3562 Ridge Park Dr # D1, Fairlawn, OH 44333 | 2017-12-19 |
| 1952814329 | Linda Long | Behavioral Analyst | 3428 W. Market Street, Fairlawn, OH 44333 | 2017-11-08 |
| 1366967325 | Heidi Harper | Behavioral Analyst | 373 Stratford Rd., Fairlawn, OH 44333 | 2017-08-10 |
| 1215459151 | Lisa Marie Kosley | Registered Nurse | 3250 West Market, Suite 2, Fairlawn, OH 44333 | 2017-07-12 |
| 1053764530 | Lindsey Foradis | Nurse Practitioner | 3600 W Market St Ste 200, Fairlawn, OH 44333 | 2016-07-19 |
| 1922484740 | Let's Talk Quality Services, Inc. | Day Training, Developmentally Disabled Services | 462 Gresham Drive, Fairlawn, OH 44333 | 2015-08-04 |
| 1770973240 | Amelia Evans | Licensed Practical Nurse | 3040 West Market St., Interim Healthcare, Akron, OH 44333 | 2015-02-04 |
| 1770908774 | Mary Catherine Boettcher | Speech-Language Pathologist | 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 | 2014-02-27 |
| Find all providers in zip 44333 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710436415 | Center for Revolutionary Relationships LLC Monica S Padula Sole Mbr | Marriage & Family Therapist | 3200 W. Market St., Ste. 101, Fairlawn, OH 44333-3324 | 2016-09-23 |
| 1013521582 | Katerina Heppe | Marriage & Family Therapist | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-02 |
| 1215594411 | Alexis Enright | Marriage & Family Therapist | 843 N Cleveland Massillon Rd Ste 6, Fairlawn, OH 44333-2184 | 2019-05-22 |
| 1215440722 | Gina Vitullo | Marriage & Family Therapist | 2820 W Market St Ste 110, Fairlawn, OH 44333-4061 | 2017-11-07 |
| 1760884241 | Pamela Irene Hirt | Marriage & Family Therapist | 3094 W Market St, Fairlawn, OH 44333-3626 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671666 | Daniel Button | Marriage & Family Therapist | 6759 Sparrow Hill Rd, Sylvania, OH 43560-3583 | 2020-08-28 |
| 1073143111 | Ruth Nwanyabuife Nzimiro | Marriage & Family Therapist | 1801 Parkford Ln, Columbus, OH 43229-7088 | 2020-01-16 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1982265401 | Amy B Weaver | Marriage & Family Therapist | 500 W Wilson Bridge Rd Ste 240, Worthington, OH 43085-2238 | 2019-06-25 |
| 1255994711 | Dylan Swearingen | Marriage & Family Therapist | 431 Ohio Pike Ste 312, Cincinnati, OH 45255-3629 | 2019-04-19 |
| 1851864219 | Clinic of Individual and Family Counseling | Marriage & Family Therapist | 27 South Forge Street, Akron, OH 44325-5007 | 2019-01-09 |
| 1265904304 | Kira Rye Hayes | Marriage & Family Therapist | 58 S 2nd St, Newark, OH 43055-5432 | 2018-12-31 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1073082251 | Kris Jennings Snyder | Marriage & Family Therapist | 1335 Dublin Rd Ste 212, Columbus, OH 43215-1000 | 2018-11-17 |
| 1689169336 | Graziella R Siebesian | Marriage & Family Therapist | 195 N Grant Ave Ste 25o, Columbus, OH 43215-2855 | 2018-06-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.