Dora Diane Phillips
Counselor, Addiction (Substance Use Disorder) in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1184875361
StatusActive
Last updated in NPPESOct 6, 2008
Details
- NPI
- 1184875361
- Entity type
- Individual (NPI-1)
- Name
- Ms. Dora Diane Phillips
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2008
- Last updated
- Oct 6, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
3033 N Walnut AveOklahoma City, OK 73105-2832
Phone 405-230-1163
Mailing address
4224 Nw 14th StOklahoma City, OK 73107-4206
Phone 405-889-1886
Is something wrong?
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