MS. PHYLISS KILPATRICK LMSW-IPR LCDC NPI 1760892087

NPI Information

NPI: 1760892087
Provider Name: MS. PHYLISS KILPATRICK, LMSW-IPR, LCDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX
ZIP 78234
Phone: (210) 466-0388
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MS. Phyliss Kilpatrick, LMSW-IPR, LCDC is an addiction (substance use disorder) counselor in Fort Sam Houston, TX. MS. Phyliss Kilpatrick, LMSW-IPR, LCDC NPI is 1760892087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX
ZIP 78234-501
Phone: (210) 466-0388

The enumeration date for this NPI number is 5/8/2014 and was last updated on 5/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		36094	TEXAS	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	12493	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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