Healthcare Provider Details

I. General information

NPI: 1952218547
Provider Name (Legal Business Name): ALICIA L HENRY-PHILLIPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

948 MAIN ST
FOLLANSBEE WV
26037-1450
US

IV. Provider business mailing address

270 MAHAN LN
FOLLANSBEE WV
26037-1032
US

V. Phone/Fax

Practice location:
  • Phone: 304-527-3410
  • Fax:
Mailing address:
  • Phone: 304-527-3410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: