Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAE ANTHONY PHILLIPS
Active Sole ProprietorTRAE ANTHONY PHILLIPS is a Mental Health Clinic healthcare provider located in SHAWNEE, Oklahoma. NPI 1740974138 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · SHAWNEE, OK
Registration Details
- NPI Number
- 1740974138
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2023 (3.1615290421854 yrs)
- Last Updated
- Jun 7, 2023
- License
-
L084049560 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
429 N UNION AVESHAWNEE, OK, 748017064Browse OK providers · Browse ZIP 74801
- Phone
- 4052751844
- Fax
- 4052751124
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Other Mental Health Clinic Providers in SHAWNEE, OK
| Name | Credential | NPI |
|---|---|---|
| ROCKOLYN LADAWN DAVIS | LMSW | 1417293770 |
| STACEY CLARY | BHA | 1720411325 |
| MISS KELLY ANNE VEELEY | — | 1528539236 |
| EMILY BLYTHE | — | 1891484283 |
| DESTINY SUZZANNE DAUMAN | — | 1871284422 |
| QUITHA ELISE PATTERSON | — | 1679257232 |
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.