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

Phyllis Kathleen Azzarito

Individual provider Professional Counselor · NPI 1013687797

Phyllis Kathleen Azzarito is a Mental Health Counselor in Greenville, South Carolina. Qualified in 1993, 33 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
33
Licensed in
SC
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

68 Pointe Cir Ste 3201
Greenville, SC 29615-6307
Phone: (855) 284-7483
Fax: (617) 807-0958
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7844 (SC)

Record details

NPI number1013687797
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2021
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Greenville