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Sheritta R Phillips

Counselor

Behavioral Health & Social Service Providers

1875 Northwestern Ave S, Stillwater, MN 55082-7534

PECOS Enrollment

This provider is enrolled in PECOS as SHERITTA PHILLIPS.

Based on the most recent information from CMS, provider Sheritta R Phillips is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1053005843
Provider Type
Individual
Full Name
Phillips, Sheritta R
Credential
MS, LPCC

Gender
Female
Sole Proprietor
No
Enumeration Date
6/6/2023
Last Updated
6/6/2023

Contact Information

Practice Location

1875 Northwestern Ave S, Stillwater, MN 55082-7534

(651) 789-4039

(651) 439-4894

Mailing Location

1875 Northwestern Ave S, Stillwater, MN 55082-7534

(651) 789-4039

(651) 439-4894

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CC03803 Minnesota

Sheritta R Phillips

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mathews, Jennifer R

Broberg, Eden

Engelen, Brian Michael

Hinkle, Dena K

Puente, Lindsay

Swanberg, Sarah Ashley

Moylan, Julie Ann

Pilney, Nicholas

Schaeffer, Mary Cathrine

Morgan Shepard, Haley Dyan