TERRANCE PHILLIS LPC NPI 1073096673

NPI Information

NPI: 1073096673
Provider Name: TERRANCE PHILLIS, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
444 BUTTERFLY GARDENS DR
COLUMBUS, OH
ZIP 43215
Phone: (614) 355-8080
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Terrance Phillis, LPC is a mental health counselor in Columbus, OH. Terrance Phillis, LPC NPI is 1073096673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

444 BUTTERFLY GARDENS DR
COLUMBUS, OH
ZIP 43215-427
Phone: (614) 355-8080
Fax: (614) 355-7855

The enumeration date for this NPI number is 9/10/2018 and was last updated on 9/8/2021.

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	106H00000X	Marriage & Family Therapist		M.1800120-TRNE	OHIO	No
2	101YM0800X	Counselor	Mental Health	C2103611	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1473276	MEDICAID	OHIO

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

NPI Synchronization or Removal

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