Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phylicia Bonham

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1184381766

Phylicia Bonham is a Psychiatric/Mental Health Nurse Practitioner in Charleston, South Carolina. Works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2021

Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 285-9670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 109 Bee St, Charleston, SC 29401-5703 — (843) 577-5011

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 25848 (SC)

Record details

NPI number1184381766
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 18, 2021
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address171 Ashley Ave, Charleston, SC 29425-8908

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