IndividualActive
Ricky Phillips, PH.D., LCC
NPI 1790057693 · Pastoral Counselor · Kentwood, MI
Provider details
- NPI number
- 1790057693
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Credential
- PH.D., LCC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1137 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4346 Terrace Ln Se
Kentwood, MI 49512-5602
Phone: (616) 427-3212
Approximate (ZIP-level) locationGet directions
Mailing address
4346 Terrace Ln Se
Kentwood, MI 49512-5602
Registry dates
- Enumerated
- 2012-02-07
- Last updated
- 2012-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.