KELLY PHILLIPS LICSW LLC NPI 1043933203

NPI Details

KELLY PHILLIPS LICSW LLC is a community behavioral health in South Hadley, MA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. KELLY PHILLIPS LICSW LLC NPI is 1043933203. The provider is registered as an organization entity type.

The provider's business location address is:

130 COLLEGE ST STE 107
SOUTH HADLEY, MA
ZIP 01075-532
Phone: (413) 360-8811
Fax: (413) 471-2546

The provider's authorized official is Kelly J Phillips .
The authorized official title is Owner/therapist and has the following contact phone number (413) 360-8811.

The enumeration date for this NPI number is 9/22/2022 and was last updated on 10/30/2023.

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: