Most Relevant Information
Provider Data
| NPI Number: | 1003319146 |
| Provider Name: | PHYLICIA HEADLEY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149023419 |
Most Important Dates
| Enumeration Date: | 03/15/2018 |
| Last Updated: | 09/26/2021 |
Provider Practice Location
3436 N KENNICOTT AVE
ARLINGTON HTS
IL
600047814
Practice Location Phone/Fax
| Phone: | 8479527460 |
| Fax: | 8472221754 |
Provider Mailing Location
3436 N KENNICOTT AVE
ARLINGTON HTS
IL
600047814
Provider Mailing Phone/Fax
| Phone: | 8479527460 |
| Fax: | 8472221754 |