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:
Health care specialties
| Specialty | Code | License # | 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 8 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 | 1679937932 | NPPES |
| North Carolina | MEDICAID | 8301469 |
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