Provider Demographics
NPI:1992919609
Name:DAVID PHILLIPS, LMHC
Entity type:Organization
Organization Name:DAVID PHILLIPS, LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEATLH THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:425-953-4361
Mailing Address - Street 1:PO BOX 1625
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98291-1625
Mailing Address - Country:US
Mailing Address - Phone:425-953-4361
Mailing Address - Fax:425-953-4361
Practice Address - Street 1:1002 10TH ST
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2024
Practice Address - Country:US
Practice Address - Phone:425-953-4361
Practice Address - Fax:425-953-4361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005361101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA182368OtherCOMPSYCH
WA8927542OtherCRIME VICTIMS COMP
WA2030370OtherCIGNA BEHAVIORAL
WA056368OtherHORIZON BEHAVIORAL
WA7444PHOtherREGENCE BLUE SHIELD