AUDREY PHILLIPS (NPI# 1750806691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750806691 |
| Entity Type | Individual |
| Full Name | AUDREY PHILLIPS |
| Credential | BA, CAC-P |
| Practice Address |
2404 Wise Rd Conway SC 29526-5521 |
| Mailing Address |
190 Wiltshire Ct Longs SC 29568-8872 |
| Practice Telephone | 8434881300 |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2017-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730554320 | Audrey Ann Phillips | Occupational Therapist | 355 East Erie Street, Chicago, IL 60611-2654 | 2015-12-08 |
| 1679959126 | Audrey Phillips | Nurse Practitioner | 8792 St Rt 335, Minford, OH 45653 | 2015-08-07 |
| 1780223552 | Audrey Phillips | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-12-27 |
| 1376102418 | Audrey Nicole Phillips | Case Manager/Care Coordinator | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2019-06-12 |
| 1215309968 | Audrey Phillips | Social Worker | 105 Hall St, Suite D, Traverse City, MI 49684-2288 | 2015-10-21 |
| 1194817775 | Audrey Anne Phillips | Social Worker | 375 Apple Tree Dr, Ionia, MI 48846-7506 | 2006-09-29 |
| Street Address |
2404 WISE RD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134158231 | Horry County Comm On Alcohol & Drug Abuse | Substance Abuse Rehabilitation Facility | 2404 Wise Rd, Conway, SC 29526-5521 | 2006-07-01 |
| 1568075182 | Ovp Health Care, Inc. | Family Medicine | 2404 Wise Rd, Conway, SC 29526-5521 | 2020-08-24 |
| 1558990051 | Bailey Erin Ray | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2020-04-06 |
| 1447889985 | Danielle Remensnyder | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2020-04-06 |
| 1790317246 | Christina Ann Feathers | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2020-02-12 |
| 1205474814 | Ohio Valley Physicians Inc | Family Medicine | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-12-13 |
| 1922642131 | Eric Michael Curtis | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-10-30 |
| 1033751045 | Lauren Grace Joosten | Social Worker | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-10-10 |
| 1326689340 | Kelsie Massengill | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-10-01 |
| 1588127229 | Reshaya Mcbride | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174189187 | Carolina Health and Recovery | Counselor | 100 Waccamaw River Dr, Conway, SC 29526-7986 | 2019-05-15 |
| 1184061525 | Jeffrey Alan Craddock | Counselor | 901 Bell St, Conway, SC 29526-4113 | 2013-05-24 |
| 1487991832 | Viola Delois Lawrence II | Counselor | 1908 Racepath Ave, Conway, SC 29527-5453 | 2013-01-04 |
| 1922365691 | Jeremiah Taylor | Counselor | 812 Oak St, Conway, AR 72032-4408 | 2012-04-18 |
| 1508059064 | Susan Rae Adams | Counselor | 2329 College Ave, Conway, AR 72034-6225 | 2007-08-19 |
| 1922642131 | Eric Michael Curtis | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-10-30 |
| 1588127229 | Reshaya Mcbride | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-04-10 |
| 1003394917 | Sabrina Jelks | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2018-08-02 |
| 1598250409 | Millicent Small | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2018-06-25 |
| 1912496258 | Lauren Claire Alvey | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2018-05-02 |
| Find all providers in CONWAY | ||||
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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.