Phoenix Associates Inc.

LBN: Phoenix Associates Inc.
Phoenix Associates Inc. is an health care organization with primary practice located at 2200 Lake Ave Suite 260, Fort Wayne IN 46805-5397. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Phoenix Associates Inc. can be contacted via phone (260) 424-0411, or through Blanks, John William via phone (260) 424-0411.

Contact Information

Primary practice address
2200 Lake Ave Suite 260 Fort Wayne IN 46805-5397
Phone: (260) 424-0411
Fax: (260) 424-3530
Website:
Map and Directions
Authorized official contact:
Name: Blanks, John William MSW, LCSW
Phone: (260) 424-0411

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34000785A Indiana

Profile Details

NPI number 1407917966
LBN Legal business name Phoenix Associates Inc.
DBA Doing business as
Authorized official Blanks, John William MSW, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Apr 2nd, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407917966 NPPES
Indiana MEDICAID 100080580A

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