Phoenix Counseling Center
LBN: Phoenix Counseling Center
Phoenix Counseling Center is an health care organization with primary practice located at 322 Mcbee St , Lincolnton NC 28092-2819. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Agencies / Community/Behavioral Health is the primary health care specialty.
Phoenix Counseling Center can be contacted via phone (704) 240-9453, or through Oliver, Kevin Paul via phone (704) 491-0829.
Contact Information
Primary practice address
322 Mcbee St
Lincolnton NC 28092-2819
Phone: (704) 240-9453
Fax: (704) 240-4603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MHL-036-214 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | North Carolina | |
| Agencies / Case Management | 251B00000X | MHL 036-214 | North Carolina |
| Agencies / Community/Behavioral Health | 251S00000X | MHL 036-214 | North Carolina |
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | MHL-036-214 | North Carolina |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | MHL-036-214 | North Carolina |
Profile Details
| NPI number | 1396845004 |
|---|---|
| LBN Legal business name | Phoenix Counseling Center |
| DBA Doing business as | |
| Authorized official | Oliver, Kevin Paul M.A., MPA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 23rd, 2006 |
| Last updated | Feb 9th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396845004 | NPPES |
| North Carolina | MEDICAID | 8301469P | |
| North Carolina | MEDICAID | 8301469 | |
| North Carolina | MEDICAID | 8301469G | |
| North Carolina | MEDICAID | 8301469B | |
| North Carolina | MEDICAID | 6005727 | |
| North Carolina | MEDICAID | 8301469Q |
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