Provider Type Icon

MARIANNE PHILLIPS LCMHC LADC NPI 1962434647


NPI Information

NPI: 1962434647
Provider Name: MARIANNE PHILLIPS, LCMHC, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
855 PINE ST
BURLINGTON, VT
ZIP 05401
Phone: (802) 488-6103
Get Directions

Marianne Phillips, LCMHC, LADC is an addiction (substance use disorder) counselor in Burlington, VT. Marianne Phillips, LCMHC, LADC NPI is 1962434647. 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:

855 PINE ST
BURLINGTON, VT
ZIP 05401-924
Phone: (802) 488-6103
Fax: (802) 488-6919

The enumeration date for this NPI number is 7/6/2006 and was last updated on 5/16/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health068-0000617VERMONTNo
2101YA0400XCounselorAddiction (Substance Use Disorder)000189VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11010732MEDICAIDVERMONT

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.