Healthcare Provider Details

I. General information

NPI: 1942289301
Provider Name (Legal Business Name): L & P SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 04/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 COLEGATE DR
MARIETTA OH
45750-2363
US

IV. Provider business mailing address

PO BOX 4006
MARIETTA OH
45750-7006
US

V. Phone/Fax

Practice location:
  • Phone: 740-376-0930
  • Fax: 740-376-0933
Mailing address:
  • Phone: 740-376-0930
  • Fax: 740-376-0933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number579
License Number StateOH

VIII. Authorized Official

Name: MR. BRENT S. PHIPPS
Title or Position: PRESIDENT
Credential:
Phone: 740-376-0930