Phoenix Counseling Center

LBN: Phoenix Counseling Center
Phoenix Counseling Center is an health care organization with primary practice located at 609 E Center Ave , Mooresville NC 28115-2547. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Phoenix Counseling Center can be contacted via phone (704) 884-2060, or through Oliver, Kevin P via phone (704) 491-0829.

Contact Information

Primary practice address
609 E Center Ave Mooresville NC 28115-2547
Phone: (704) 884-2060
Fax: (704) 854-4860
Website:
Map and Directions
Authorized official contact:
Name: Oliver, Kevin P MS
Phone: (704) 491-0829

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1679937932
LBN Legal business name Phoenix Counseling Center
DBA Doing business as
Authorized official Oliver, Kevin P MS
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2016
Last updated Apr 12th, 2016 - about 9 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 1679937932 NPPES
North Carolina MEDICAID 8301469

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