Phillips, Marianne

Phillips, Marianne is an individual health care provider with primary practice located at 855 Pine St , Burlington VT 05401-4924. She 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 / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Phillips, Marianne can be contacted via phone (802) 488-6103.

Contact Information

Primary practice address
855 Pine St Burlington VT 05401-4924
Phone: (802) 488-6103
Fax: (802) 488-6919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000189 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000617 Vermont

Profile Details

NPI number 1962434647
LBN Legal business name Phillips, Marianne
Credentials LCMHC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated May 16th, 2011 - about 15 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

Identifiers

StateTypeNumberIssuer
All States NPI 1962434647 NPPES
Vermont MEDICAID 1010732

Popular Providers