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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912281031 | NPPES |
| Louisiana | MEDICAID | 1803871 |
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