Phoenix Rising Bhr

LBN: Phoenix Rising Behavioral Healthcare And Recovery Inc
Phoenix Rising Bhr is an health care organization with primary practice located at 624 Market Ave N , Canton OH 44702-1017. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Phoenix Rising Behavioral Healthcare And Recovery Inc can be contacted via phone (330) 493-4553, or through Grubbs, Lisa K via phone (330) 493-4553.

Contact Information

Primary practice address
624 Market Ave N Canton OH 44702-1017
Phone: (330) 493-4553
Fax: (330) 493-3762
Website:
Map and Directions
Authorized official contact:
Name: Grubbs, Lisa K LPCC'S
Phone: (330) 493-4553

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X Ohio
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Ohio
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X Ohio
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1891737292
LBN Legal business name Phoenix Rising Behavioral Healthcare And Recovery Inc
DBA Doing business as Phoenix Rising Bhr
Authorized official Grubbs, Lisa K LPCC'S
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Apr 9th, 2020 - about 4 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 1891737292 NPPES
Ohio MEDICAID 2594134

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