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Contact Information

EDWARD J PHILLIPS, CYC, CIT-HS-00158
1521 MERRILL DRIVE
STE D220
LITTLE ROCK, AR72211
 Phone: 501-666-8686
 Fax: 501-660-6830
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for EDWARD J PHILLIPS · (Male)

NPI Number 1467118075
Status Active
Credentials CYC, CIT-HS-00158
Entity Individual
Enumeration date 11/09/2021
Last updated 07/20/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # CIT-HS-00158
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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