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NPI Code Detail

MEDICARE: REAGAN CROYLE PHILLIPS LPC

MEDICARE: REAGAN CROYLE PHILLIPS LPC
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
1101Y00000XCounselorALC-C3558AAL

General Provider Information

NPI Number : 1275147738
Entity Type Code : Individual
Provider Name (Legal Business Name) : REAGAN CROYLE PHILLIPS LPC
Provider Business Mailing Address
First Line : PO BOX 101
Second Line :
City : GADSDEN
State : AL
Zip : 35902-0101
Country : US
Telephone Number : 256-458-3201
Fax Number :
Provider Business Practice Location Address
First Line : 3644A RAINBOW DR
Second Line :
City : RAINBOW CITY
State : AL
Zip : 35906-6313
Country : US
Telephone Number : 256-613-2678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2020
Last Update Date : 08/25/2022

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Directions to “ REAGAN CROYLE PHILLIPS LPC” Practice Location

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