Phoenix Therapeutic Foundation, Inc

LBN: Phoenix Therapeutic Foundation, Inc
Phoenix Therapeutic Foundation, Inc is an health care organization with primary practice located at 5602 Baltimore National Pike Suite 700, Baltimore MD 21228-1411. The organization recently has 5 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 / Social Worker, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Phoenix Therapeutic Foundation, Inc can be contacted via phone (410) 744-9100, or through Elbeshir, Amr A via phone (410) 744-9100.

Contact Information

Primary practice address
5602 Baltimore National Pike Suite 700 Baltimore MD 21228-1411
Phone: (410) 744-9100
Fax: (410) 747-0226
Website:
Map and Directions
Authorized official contact:
Name: Elbeshir, Amr A Master of Arts (MA)
Phone: (410) 744-9100

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA149 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC1148 Maryland
Behavioral Health & Social Service Providers / Social Worker 104100000X G08008 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11349 Maryland
Agencies / Community/Behavioral Health 251S00000X D0016432 Maryland

Profile Details

NPI number 1033247945
LBN Legal business name Phoenix Therapeutic Foundation, Inc
DBA Doing business as
Authorized official Elbeshir, Amr A Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Sep 27th, 2012 - about 13 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 1033247945 NPPES
Maryland MEDICAID 403344200

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