The Phoenix Counseling Center
LBN: Haynie, Inc
The Phoenix Counseling Center is an health care organization with primary practice located at 1200 W Apache St , Farmington NM 87401-3886. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Haynie, Inc can be contacted via phone (505) 258-2763, or through Haynie, Kimberly Ann via phone (505) 258-2763.
Contact Information
Primary practice address
1200 W Apache St
Farmington NM 87401-3886
Phone: (505) 258-2763
Fax: (505) 675-2803
Website:
Authorized official contact:
Name: Haynie, Kimberly Ann Licensed Clinical Social Worker (LCSW)
Phone: (505) 258-2763
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1124735485 |
|---|---|
| LBN Legal business name | Haynie, Inc |
| DBA Doing business as | The Phoenix Counseling Center |
| Authorized official | Haynie, Kimberly Ann Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 4th, 2022 |
| Last updated | Nov 1st, 2023 - about 2 years ago |
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 | 1124735485 | NPPES |
| New Mexico | MEDICAID | 32255705 |
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