Flippen, Phillip Jamarr

Flippen, Phillip Jamarr is an sole proprietor health care provider with primary practice located at 278 Maya Ln , Ringgold VA 24586-2904. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Flippen, Phillip Jamarr can be contacted via phone (434) 630-8494.

Contact Information

Primary practice address
278 Maya Ln Ringgold VA 24586-2904
Phone: (434) 630-8494
Fax: (888) 767-7937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1508388018
LBN Legal business name Flippen, Phillip Jamarr
Credentials LMHP-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2017
Last updated Sep 12th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508388018 NPPES
Virginia MEDICAID 27-4726213
Virginia MEDICAID 1225570195

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