Phoenix Family Life Centers

LBN: Fairway Counseling Agency, Inc.
Phoenix Family Life Centers is an health care organization with primary practice located at 710 Versailles Blvd , Alexandria LA 71303-2351. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Fairway Counseling Agency, Inc. can be contacted via phone (318) 449-4474, or through Pryor, Gemmalyn via phone (337) 234-8280.

Contact Information

Primary practice address
710 Versailles Blvd Alexandria LA 71303-2351
Phone: (318) 449-4474
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pryor, Gemmalyn
Phone: (337) 234-8280

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1912281031
LBN Legal business name Fairway Counseling Agency, Inc.
DBA Doing business as Phoenix Family Life Centers
Authorized official Pryor, Gemmalyn
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2011
Last updated Jun 30th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912281031 NPPES
Louisiana MEDICAID 1803871

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