Healthcare Provider Details

I. General information

NPI: 1295363711
Provider Name (Legal Business Name): RACHAEL PHILLIPS BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 PINNACLE CT STE 4A
MESQUITE NV
89027-3322
US

IV. Provider business mailing address

348 E 600 S
ST GEORGE UT
84770-3949
US

V. Phone/Fax

Practice location:
  • Phone: 702-344-2613
  • Fax: 435-249-7010
Mailing address:
  • Phone: 435-705-7574
  • Fax: 435-249-7010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC15545
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: