Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PHILLIP ANTHONY BLACK, M.S.
Active Sole ProprietorMental Health Counselor · BROKEN ARROW, OK
Registration Details
- NPI Number
- 1326149873
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2006 (19.568911743742 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2649 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 S SWEET GUM AVEBROKEN ARROW, OK, 740124543Browse OK providers · Browse ZIP 74012
- Phone
- 9182505963
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in BROKEN ARROW, OK
| Name | Credential | NPI |
|---|---|---|
| MS. KATHY ANN BILLIPS | MS, LBP | 1568533743 |
| LAWRENCE LORAN GILBERT | LPC LADC | 1922175850 |
| KELLI LEE KING | LPC, LADC | 1497978555 |
| MS. KERRY REBECCA ABBOTT | LPC | 1093920795 |
| MRS. MARCIA LABOOTH KEESEE | LPC-S | 1861694945 |
| MISS ASHLEY R WALE | MHR ,LPC | 1013119924 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.