MILDRED LADEAN PHIPPS LPC LCAS NPI 1194909754

NPI Information

NPI: 1194909754
Provider Name: MILDRED LADEAN PHIPPS, LPC, LCAS
Classification: Counselor - 101YA0400X
Specialization: Addiction (Substance Use Disorder)
Entity Type: Individual
Address: 284 EXECUTIVE PARK DR
SUITE 100
CONCORD, NC
ZIP 28025
Phone: (704) 939-1100

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NPI Details

Mildred Ladean Phipps, LPC, LCAS is an addiction (substance use disorder) counselor in Concord, NC. Mildred Ladean Phipps, LPC, LCAS NPI is 1194909754. 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:

284 EXECUTIVE PARK DR
SUITE 100
CONCORD, NC
ZIP 28025-831
Phone: (704) 939-1100
Fax: (704) 939-1173

The enumeration date for this NPI number is 12/19/2007 and was last updated on 7/31/2013.

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	101YM0800X	Counselor	Mental Health	3258		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	129	NORTH CAROLINA	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	6102362	MEDICAID	NORTH CAROLINA

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: 11/21/2025

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