Bass, Phillip Michael

Bass, Phillip Michael is an individual health care provider with primary practice located at 1777 Fordham Blvd Ste 204 , Chapel Hill NC 27514-5885. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bass, Phillip Michael can be contacted via phone (919) 283-3137.

Contact Information

Primary practice address
1777 Fordham Blvd Ste 204 Chapel Hill NC 27514-5885
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X A10502 North Carolina

Profile Details

NPI number 1912316084
LBN Legal business name Bass, Phillip Michael
Credentials MDIV, THM, LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2014
Last updated Mar 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers