THE PHOENIX HOUSE LLC
NPI 1194660936
Clinic/Center - Rehabilitation, Substance Use Disorder in Middlesboro, KY

Active since April 20, 2026
106 CHASTEEN DR, MIDDLESBORO, KY 40965(918) 896-8380 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Phoenix House Llc NPPES

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

THE PHOENIX HOUSE LLC (NPI 1194660936) is a healthcare organization registered as a rehabilitation, substance use disorder in Middlesboro, Kentucky and active in the NPI registry since April 2026. The organization lists Misty Dawn Panther, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194660936
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameTHE PHOENIX HOUSE LLC
Location Address106 CHASTEEN DRMiddlesboro, KY 40965-2519
Mailing Address106 Chasteen DrMiddlesboro, KY 40965-2519 · (918) 896-8380
Organization SubpartNo
Authorized OfficialMisty Dawn PantherExecutive Director · (918) 896-8380
Enumeration DateApril 20, 2026
NPPES CertifiedApril 20, 2026
NPI 1194660936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
106 CHASTEEN DR, Middlesboro, KY 40965

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 The Phoenix House LLC's NPI number?

The NPI number for The Phoenix House LLC is 1194660936. It was assigned to this organization in the NPPES registry on April 20, 2026.

Where is The Phoenix House LLC located?

The Phoenix House LLC is located at 106 Chasteen Dr, Middlesboro, KY 40965. The listed phone number is (918) 896-8380.

What is The Phoenix House LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for The Phoenix House LLC was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.