Phoenix Counseling Center

LBN: Phoenix Counseling Center
Phoenix Counseling Center is an health care organization with primary practice located at 804 N Lafayette St Ste 2 , Shelby NC 28150-3898. 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, Agencies / Case Management, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Phoenix Counseling Center can be contacted via phone (704) 476-4106, or through Oliver, Kevin Paul via phone (704) 921-3070.

Contact Information

Primary practice address
804 N Lafayette St Ste 2 Shelby NC 28150-3898
Phone: (704) 476-4106
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Oliver, Kevin Paul MA, MPA
Phone: (704) 921-3070

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X North Carolina
Agencies / Case Management 251B00000X North Carolina
Agencies / Community/Behavioral Health 251S00000X North Carolina

Profile Details

NPI number 1831377563
LBN Legal business name Phoenix Counseling Center
DBA Doing business as
Authorized official Oliver, Kevin Paul MA, MPA
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 5th, 2008
Last updated Jul 21st, 2022 - about 2 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 1831377563 NPPES
North Carolina Other 1831377563 NPI
North Carolina MEDICAID 1831377563 NPI

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