MEDICARE: CHERRIE PHILLIPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	106H00000X	Marriage & Family Therapist	116776	CA

General Provider Information

NPI Number	:	1023460870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERRIE PHILLIPS

Provider Business Mailing Address
First Line	:	19401 S VERMONT AVE
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90502-1029
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23504 LYONS AVE STE 401B
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91321-5777
Country	:	US
Telephone Number	:	661-977-4747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2016
Last Update Date	:	09/10/2024

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Directions to “ CHERRIE PHILLIPS ” Practice Location

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