MIKE PHILLIPS LLC


Address: 4015 S Cobb Dr Se, Smyrna, GA 30080-6303
Phone: 4042744688

MIKE PHILLIPS LLC (NPI# 1417414632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417414632
Entity Type Organization
Organization Name MIKE PHILLIPS LLC
Practice Address 4015 S Cobb Dr Se
Smyrna
GA 30080-6303
Mailing Address 353 Durand Falls Drive
Decatur
GA 30030
Practice Telephone 4042744688
Mailing Telephone 4042744688
Enumeration Date 2019-02-24
Last Update Date 2019-02-28
Authorized Official Name MICHAEL CHRISTOPHER PHILLIPS (ORANGANIZER)
Authorized Official Telephone 4042744688
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 4015 S COBB DR SE
City SMYRNA
State GA
Zip Code 30080-6303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083617351 Carlton D Haggard Social Worker 4015 S Cobb Dr Se, Ste 4, Smyrna, GA 30080-6315 2005-05-31
1629534896 Michael C Phillips Counselor 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 2019-02-13
1902358146 Hannah Jay Sabella Dietitian, Registered 4015 S Cobb Dr Se, Suite 250, Smyrna, GA 30080-6303 2016-11-03
1124470729 Richard Charles Lie-nielsen Counselor 4015 S Cobb Dr Se, Suite 260, Smyrna, GA 30080-6303 2016-07-07
1508216136 Jason Rhoads Counselor 4015 S Cobb Dr Se, Suite 1, Smyrna, GA 30080-6303 2016-06-14
1962850446 Brenda Terry Physician Assistant 4015 S Cobb Dr Se, Suite 115, Smyrna, GA 30080-6303 2016-05-25
1669833448 Christine Engstrom Dietitian, Registered 4015 S Cobb Dr Se, Suite 260, Smyrna, GA 30080-6303 2016-03-08
1700246550 Personal Recovery Network LLC Counselor 4015 S Cobb Dr Se, Suite 115, Smyrna, GA 30080-6303 2016-03-07
1841650538 Personal Recovery Network LLC Internal Medicine 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 2016-02-24
1154728780 Cobb Counseling Center Inc Social Worker 4015 S Cobb Dr Se, Suite 4, Smyrna, GA 30080-6303 2014-11-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881205169 Suny Varughese Nurse Practitioner Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 2020-08-11
1891287645 Provident Group - Creekside Properties LLC Alzheimer Center (Dementia Center) 4838 South Cobb Drive, Smyrna, GA 30080 2018-06-06
1710490743 Alina Rim Registered Nurse 4532 Chelton Ct Se, Smyrna, GA 30080 2017-11-13
1932626488 Richard Kyle Davis Pharmacist 2955 Atlanta Rd Se, Smyrna, GA 30080 2017-08-25
1982071163 Amelia Rafaela Turrubiates-huacuja Counselor 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 2015-08-24
1275919755 Anne Waldner Rohling Physical Therapist 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 2015-08-06
1790167856 Kay Yetunde Johnson Nurse Practitioner 3001 Lusk Dr, Smyrna, GA 30080 2015-06-25
1689055436 Anew You Couneling, LLC Community/Behavioral Health 3188 Atlanta Rd, Smyrna, GA 30080 2015-06-17
1457766370 Trondi Jerry Counselor 3381 Atlanta Rd Se, Smyrna, GA 30080 2014-06-30
1093081903 Ashish Kapila Podiatrist Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 2012-03-25
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114528957 Takelia Hughey Counselor 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 2020-11-06
1114535408 Ramona J Wilson Counselor 4684 Wehunt Commons Dr Se, Smyrna, GA 30082-7312 2020-07-22
1194340521 Amanda Almeida Counselor 1024 Cumberland Glen Ln Se, Smyrna, GA 30080-4063 2020-06-11
1356974075 Bianca Walker Counselor 4018 Benell Ct Se, Smyrna, GA 30082-3905 2020-02-20
1801435888 Calvin Kittrell Smith Counselor 2350 Cobb Pkwy Se Apt 9c, Smyrna, GA 30080-2708 2019-12-23
1932745551 Courtney Laye Counselor 3642 Highlands Pkwy Se, Smyrna, GA 30082-5184 2019-11-19
1659929214 Nykeya Jjmes Counselor 2411 Ellard Ter Se, Smyrna, GA 30080-4808 2019-08-27
1477011369 Tracy L Hurst Counselor 1275 Church St Se, Smyrna, GA 30080-3532 2019-03-09
1447720453 Mary Campbell Counselor 1264 Concord Rd Se Ste 106, Smyrna, GA 30080-5302 2018-12-03
1699242875 Erin Michelle Richardson Counselor 400 Technology Ct Se, Smyrna, GA 30082-5237 2018-10-25
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Competitor

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City SMYRNA
Zip Code 30080

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Dataset Information

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.

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