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

Trae Anthony Phillips

Individual provider Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1740974138

Trae Anthony Phillips is a Mental Health Clinic/Center (Including Community Mental Health Center) in Shawnee, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2023

Practice location Address checks out

429 N Union Ave
Shawnee, OK 74801-7064
Phone: (405) 275-1844
Fax: (405) 275-1124
Show map & directions

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

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X · Licence L084049560 (OK)

Record details

NPI number1740974138
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 7, 2023
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023
Mailing address429 N Union Ave, Shawnee, OK 74801-7064

Other providers in Shawnee