Kenneth L Phillips, | |
1058 S Governors Ave Ste 102, Dover, DE 19904-6920 | |
(302) 331-9462 | |
Not Available |
Full Name | Kenneth L Phillips |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1058 S Governors Ave Ste 102, Dover, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194221408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | PC0000857 (Delaware) | Primary |
Entity Name | Mental Edge Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699145854 PECOS PAC ID: 2668750324 Enrollment ID: O20161031002379 |
Mailing Address | Practice Location Address |
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Kenneth L Phillips, 73 Wynsome Blvd, Camden, DE 19934-5328 Ph: (302) 331-9462 | Kenneth L Phillips, 1058 S Governors Ave Ste 102, Dover, DE 19904-6920 Ph: (302) 331-9462 |
Kristine L Hutchison, LPCMH, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Loockerman St, Dover, DE 19904 Phone: 302-674-1397 Fax: 302-674-1602 | |
Mr. Alan Wayne Meluney, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 Walker Rd, Dover, DE 19904 Phone: 302-674-2380 Fax: 302-674-1299 | |
Timothy Early, Counselor Medicare: Not Enrolled in Medicare Practice Location: 884 Walker Rd Ste B, Dover, DE 19904 Phone: 302-678-4911 Fax: 302-678-4948 | |
Mrs. Melissa Kaye Tooles, LPCMH, NCC, MCC, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2040 Sycamore Ct, Unit 4, Dover, DE 19901 Phone: 410-262-3058 | |
Cynthia Prange, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1609 S State St, Dover, DE 19901 Phone: 302-257-3135 | |
Lesmine London Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 429 S New St, Dover, DE 19904 Phone: 302-504-8500 | |
Michelle Ericksen, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 156 S State St, Dover, DE 19901 Phone: 302-674-2380 Fax: 302-674-1299 |