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PHOENIX HOLISTIC SERVICES LLC
NPI 1215608146
Counselor - Mental Health in Jamaica, NY

Active since September 21, 2021
15569 115TH RD, JAMAICA, NY 11434(917) 226-6726 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Holistic Services Llc NPPES

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

PHOENIX HOLISTIC SERVICES LLC (NPI 1215608146) is a healthcare organization registered as a mental health in Jamaica, New York and active in the NPI registry since September 2021. The organization lists Allen E Smart, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1215608146
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePHOENIX HOLISTIC SERVICES LLC
Location Address15569 115TH RDJamaica, NY 11434-1023
Mailing Address15569 115th RdJamaica, NY 11434-1023 · (917) 226-6726
Phone(917) 226-6726
Organization SubpartNo
Authorized OfficialAllen E SmartClinical Social Worker · (917) 226-6726
Enumeration DateSeptember 21, 2021
NPPES CertifiedSeptember 21, 2021
✔ NPI 1215608146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
15569 115TH RD, Jamaica, NY 11434
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Phoenix Holistic Services LLC's NPI number?

The NPI number for Phoenix Holistic Services LLC is 1215608146. It was assigned to this organization in the NPPES registry on September 21, 2021.

Where is Phoenix Holistic Services LLC located?

Phoenix Holistic Services LLC is located at 15569 115th Rd, Jamaica, NY 11434. The listed phone number is (917) 226-6726.

What is Phoenix Holistic Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Phoenix Holistic Services LLC was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.