Provider Demographics
NPI:1851104160
Name:PHILPOT, JOSIE DANIELLE (BS, TCADC)
Entity type:Individual
Prefix:
First Name:JOSIE
Middle Name:DANIELLE
Last Name:PHILPOT
Suffix:
Gender:F
Credentials:BS, TCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 HIGHWAY 192 W STE 106
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-2637
Mailing Address - Country:US
Mailing Address - Phone:606-620-2223
Mailing Address - Fax:
Practice Address - Street 1:565 HIGHWAY 192 W
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-2637
Practice Address - Country:US
Practice Address - Phone:606-620-2223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY291437101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)