Phoenix Counseling Center

LBN: Phoenix Counseling Center
Phoenix Counseling Center is an health care organization with primary practice located at 2505 Court Dr , Gastonia NC 28054-2140. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Phoenix Counseling Center can be contacted via phone (704) 861-8014, or through Vereen, Tonce via phone (704) 299-3879.

Contact Information

Primary practice address
2505 Court Dr Gastonia NC 28054-2140
Phone: (704) 861-8014
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vereen, Tonce MA, LCAS-P
Phone: (704) 299-3879

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1154621134
LBN Legal business name Phoenix Counseling Center
DBA Doing business as
Authorized official Vereen, Tonce MA, LCAS-P
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2010
Last updated Oct 25th, 2010 - about 15 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 1154621134 NPPES
North Carolina MEDICAID 1396845004
North Carolina Other 8301469

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