National Provider Identifier

Laura Noelle Phillips, LCSW

Laura Noelle Phillips, LCSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Tonawanda, NY and a listed phone number of (716) 474-9046.

NPI 1689367724Tonawanda, NYMental Health Counselor

Profile Overview

NPI
1689367724
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
June 02, 2023
Last Updated
June 02, 2023

Practice Location

  • 107 Pryor Ave
  • Tonawanda, NY 14150-8318

Phone: (716) 474-9046

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1689367724
Entity Type
Individual
Last Name
Phillips
First Name
Laura
Middle Name
Noelle
Credential
LCSW
Mailing Street Address
107 Pryor Ave
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-8318
Mailing Country
US
Mailing Phone
(716) 474-9046
Practice Street Address
107 Pryor Ave
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-8318
Practice Country
US
Practice Phone
(716) 474-9046
Enumeration Date
June 02, 2023
Last Updated
June 02, 2023
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
June 02, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)