Provider Demographics
NPI:1316144694
Name:POST, PHYLLIS
Entity type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:
Last Name:POST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 S MARTIN LUTHER KING JR AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-5594
Mailing Address - Country:US
Mailing Address - Phone:704-642-1250
Mailing Address - Fax:
Practice Address - Street 1:1620 S MARTIN LUTHER KING JR AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-5594
Practice Address - Country:US
Practice Address - Phone:704-642-1250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6433101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor