GREEN PHOENIX
NPI 1023875010
Clinic/Center - Mental Health (Including Community Mental Health Center) in Dallas, PA

Q: What is Green Phoenix Behavioral Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since March 05, 2024

3154 MEMORIAL HWY STE 100, DALLAS, PA 18612(570) 855-9404 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Green Phoenix NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN PHOENIX (NPI 1023875010) is a healthcare organization registered as a mental health (including community mental health center) in Dallas, Pennsylvania and active in the NPI registry since March 2024. The organization lists Amanda Leah Rodriguez Rogers, Owner, as its authorized official.

NPPES Registry Identity

NPI1023875010

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameGREEN PHOENIX BEHAVIORAL HEALTH SERVICES

Location Address3154 MEMORIAL HWY STE 100Dallas, PA 18612-9203

Mailing Address2182 State Route 29 HwyHunlock Creek, PA 18621-4512 · (570) 239-8052

Phone(570) 855-9404

Organization SubpartNo

Authorized OfficialAmanda Leah Rodriguez RogersOwner · (570) 855-9404

Enumeration DateMarch 5, 2024

Last NPPES UpdateAugust 26, 2024

NPPES CertifiedAugust 26, 2024

✔ NPI 1023875010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

3154 MEMORIAL HWY STE 100, Dallas, PA 18612

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Other Names 1

Doing Business AsGreen Phoenix

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID HAGE MSW, LCSW

Social Worker (Clinical)

3154 MEMORIAL HWY STE 100
DALLAS, PA 18612

Luzerne County (570) 285-8001

SARAH ASHLEY RED MSN-PMHNP, BSN-RN

Nurse Practitioner (Psychiatric/Mental Health)

3154 MEMORIAL HWY STE 100
DALLAS, PA 18612

Luzerne County (570) 539-7234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Phoenix Behavioral Health Services's NPI number?

The NPI number for Green Phoenix Behavioral Health Services is 1023875010. It was assigned to this organization in the NPPES registry on March 5, 2024. The provider is doing business as Green Phoenix.

Where is Green Phoenix Behavioral Health Services located?

Green Phoenix Behavioral Health Services is located at 3154 Memorial Hwy Ste 100, Dallas, PA 18612. The listed phone number is (570) 855-9404.

What is Green Phoenix Behavioral Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Green Phoenix Behavioral Health Services was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.