Phoenix Place

LBN: Phoenix Place
Phoenix Place is an health care organization with primary practice located at 2012 W Chestnut St , Louisville KY 40203-1542. 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, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Treatment, Children. Agencies / Community/Behavioral Health is the primary health care specialty. Phoenix Place can be contacted via phone (502) 656-9261, or through Calloway, Diamond via phone (502) 656-9261.

Contact Information

Primary practice address
2012 W Chestnut St Louisville KY 40203-1542
Phone: (502) 656-9261
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Calloway, Diamond
Phone: (502) 656-9261

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1740065713
LBN Legal business name Phoenix Place
DBA Doing business as
Authorized official Calloway, Diamond
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2023
Last updated May 7th, 2024 - about 6 months 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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