Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILIP ELLISON-HINES, LMFTA
Active Sole ProprietorMarriage & Family Therapist · PENDLETON, IN
Registration Details
- NPI Number
- 1558138198
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2023 (2.3855031946763 yrs)
- Last Updated
- Dec 5, 2023
- License
-
85000536A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 S PENDLETON AVE STE 212PENDLETON, IN, 460641189Browse IN providers · Browse ZIP 46064
- Phone
- 3178139064
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
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.