MS. TRACY PHILLIPS


Address: 3707 Sunset Lane, Antioch, CA 94509
Phone: 9255520124

MS. TRACY PHILLIPS (NPI# 1689873754) 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) 1689873754
Entity Type Individual
Full Name MS. TRACY PHILLIPS
Practice Address 3707 Sunset Lane
Antioch
CA 94509
Mailing Address 3707 Sunset Ln
Antioch
CA 94509-6101
Practice Telephone 9255520124
Enumeration Date 2007-07-17
Last Update Date 2007-07-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Providers TRACY PHILLIPS

NPI Name Taxonomy Address Enumeration
1629245998 Tracy Lynn Phillips Licensed Practical Nurse 5620 W Birch Harbor Dr, Wasilla, AK 99654-9430 2008-05-14
1558464990 Tracy T Phillips Obstetrics & Gynecology 2089 Vale Road, Suite 10, San Pablo, CA 94806 2006-09-07
1619960408 Tracy A Phillips Optometrist 336 El Camino Real, San Carlos, CA 94070-2408 2005-08-26
1679571863 Tracy Thomas Phillips Family Medicine 103 Frankie Ln, White Hall, AR 71602-2685 2005-07-12
1770073702 Tracy Lanae Phillips Counselor 525 Estudillo Ave, San Leandro, CA 94577-4684 2018-05-15
1508013293 Tracy B Phillips Optometrist 1733 2nd St S, Meridian, MS 39301-4514 2008-08-25
1588876866 Tracy Lee Phillips Dentist 8015 164th St, Jamaica, NY 11432-1116 2007-05-07
1578648309 Tracy Elizabeth Phillips Social Worker 2795 Richmond Ave, Staten Island, NY 10314-5857 2006-10-27
1376527051 Tracy B Phillips Pediatrics 258 Ne Tudor Rd, Lees Summit, MO 64086-5696 2005-12-06

Office Location

Street Address 3707 SUNSET LANE
City ANTIOCH
State CA
Zip Code 94509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780725655 Mary Powell Counselor 3707 Sunset Lane, Antioch, CA 94509-6101 2007-02-12
1447611777 Michael Berry Counselor 3707 Sunset Lane, Antioch, CA 94509 2016-03-15
1598049363 Marie Elizabeth Goess-saurau Psychologist 3707 Sunset Lane, Baart/cdp, Antioch Clinic, Antioch, CA 94509 2011-09-28
1124218193 Wayne Sanders Counselor 3707 Sunset Lane, Antioch, CA 94509 2007-07-26
1225161847 Debra Rich Licensed Vocational Nurse 3707 Sunset Lane, Antioch, CA 94509-6101 2007-03-13
1225172752 Linda Marie Crosley Counselor 3707 Sunset Lane, Antioch, CA 94509 2007-02-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932733243 A Step Above, LLC Clinic/Center 3648 Delta Fair Blvd., Antioch, CA 94509 2020-02-25
1134751167 Dr. Jeffrey A Saladin, Dental Corporation Dentist 3600 Delta Fair Blvd, Antioch, CA 94509 2020-02-07
1962040865 Melay Goitom Behavioral Analyst 3104 Delta Fair Boulevard, Antioch, CA 94509 2019-12-11
1518525062 James Joseph Cook Counselor 624 W. 14th Street B, Antioch, CA 94509 2019-05-30
1922576438 Wazma Matiee Behavioral Analyst 2009 Asilomar Dr., Antioch, CA 94509 2018-11-02
1346722360 Dharma Rachelle Yancy Behavioral Analyst 3401 Delta Fair Blvd, Antioch, CA 94509 2018-09-06
1912489931 Cristian Cruz Behavioral Analyst 3100-3104 Delta Fair Blvd, Antioch, CA 94509 2018-09-06
1780174052 Melissa Sue Rossi Counselor 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 2018-05-13
1033638085 Elizabeth Marie Artola Counselor 1915 D Street, Antioch, CA 94509 2017-09-11
1144748690 Andrea Michelle Newberry Counselor 55 E.18th St, Antioch, CA 94509 2017-09-05
Find all providers in zip 94509

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861646036 Zahra Rooshen Counselor 5506 Dawnview Way, Antioch, CA 94531-8616 2008-11-13
1023213311 Sue G Mankini Counselor 2828 Filbert St, Antioch, CA 94509-7336 2007-06-18
1689875510 Erion L Moore I Counselor 1728 Sanger Peak Way, Antioch, CA 94531-9127 2007-05-29
1811101843 Agueda Philbin Counselor 300 L St, Antioch, CA 94509-1159 2007-05-09
1962624734 Lendsey Wayne Busby Counselor 1915 D St, Antioch, CA 94509-2571 2007-05-02
1801924576 Felisa D Gaffney Counselor 3700 Delta Fair Blvd Ste 210, Antioch, CA 94509 2007-03-02
1780725655 Mary Powell Counselor 3707 Sunset Lane, Antioch, CA 94509-6101 2007-02-12
1992318869 Skyler Sanderson Counselor 1915 D St, Antioch, CA 94509-2571 2020-08-28
1861001216 Toby Martin Disney Counselor 1408 A St, Antioch, CA 94509-2331 2020-07-30
1598390973 Brittney Leigh Smith Counselor 3707 Sunset Ln, Antioch, CA 94509-6101 2020-03-06
Find all providers in ANTIOCH

Competitor

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City ANTIOCH
Zip Code 94509

Improve Information

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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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