Dr. Phyllis Ingram's National Provider Identifier (NPI) Details
Dr. Phyllis Ingram, LMHC
NPI: 1083371611
Enumeration Date: 2021-11-18
Last updated: 2021-11-18
Sole Proprietor: YES
Status: active
Postal Address: 3107 SAWGRASS VILLAGE CIR, PONTE VEDRA BEACH, FL
Phone: 904-373-0942
Primary Practice Address: 3107 SAWGRASS VILLAGE CIR, PONTE VEDRA BEACH, FL
Practice's phone: 904-373-0942