Jerry Franklin Phillips, LMHC
Counselor, Mental Health in Melbourne, FL. Individual provider (NPI-1).
NPI number1114103751
StatusActive
Last updated in NPPESMar 12, 2025
Details
- NPI
- 1114103751
- Entity type
- Individual (NPI-1)
- Name
- Jerry Franklin Phillips
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2008
- Certification date
- Mar 12, 2025
- Last updated
- Mar 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | M-4358 | FL | Yes |
Practice location
4160 Millicent CirMelbourne, FL 32901-6716
Phone 334-322-5750
Mailing address
4160 Millicent CirMelbourne, FL 32901-6716
Phone 334-322-5750
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