Phoenix Fire Aba

LBN: Phoenix Fire Aba
Phoenix Fire Aba is an health care organization with primary practice located at 456 Pond Apple Rd Unit 37 , Clarksville TN 37043-5357. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Phoenix Fire Aba can be contacted via phone (301) 752-6997, or through Whitehead, Fleur via phone (931) 572-7402.

Contact Information

Primary practice address
456 Pond Apple Rd Unit 37 Clarksville TN 37043-5357
Phone: (301) 752-6997
Fax: (931) 218-2075
Website:
Map and Directions
Authorized official contact:
Name: Whitehead, Fleur
Phone: (931) 572-7402

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1124737283
LBN Legal business name Phoenix Fire Aba
DBA Doing business as
Authorized official Whitehead, Fleur
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2022
Last updated Nov 17th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124737283 NPPES
Tennessee MEDICAID Q052735

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