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THE PHOENIX RECOVERY SUPPORT SERVICES AND SOBER LIVING ENVIRONMENTS LL
NPI 1225769847
Peer Specialist in Canton, OH

Active since June 23, 2022
3311 12TH ST NW, CANTON, OH 44708(234) 214-9731 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Phoenix Recovery Support Services And Sober Living Environments Ll NPPES

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

THE PHOENIX RECOVERY SUPPORT SERVICES AND SOBER LIVING ENVIRONMENTS LL (NPI 1225769847) is a healthcare organization registered as a peer specialist in Canton, Ohio and active in the NPI registry since June 2022. The organization lists Korey Alan Mccreery, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1225769847
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameTHE PHOENIX RECOVERY SUPPORT SERVICES AND SOBER LIVING ENVIRONMENTS LL
Location Address3311 12TH ST NWCanton, OH 44708-3909
Mailing Address3311 12th St NwCanton, OH 44708-3909 · (234) 214-9731
Phone(234) 214-9731
Organization SubpartNo
Authorized OfficialKorey Alan MccreeryChief Operating Officer · (234) 214-9731
Enumeration DateJune 23, 2022
Last NPPES UpdateFebruary 7, 2023
NPPES CertifiedFebruary 7, 2023
✔ NPI 1225769847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3311 12TH ST NW, Canton, OH 44708
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MARC A WALKER
Peer Specialist
3311 12TH ST NW
CANTON, OH 44708
Stark County (330) 510-6246
JOHN ERIC HOLTON
Peer Specialist
3311 12TH ST NW
CANTON, OH 44708
Stark County (234) 214-9731
TEDDY JAMES DALEY
Peer Specialist
3311 12TH ST NW
CANTON, OH 44708
Stark County (330) 459-2450
JAMES RICHARD VENABLES
Peer Specialist
3311 12TH ST NW
CANTON, OH 44708
Stark County (330) 415-0630
MR. DEAN ELMER ROACH
Peer Specialist
3311 12TH ST NW
CANTON, OH 44708
Stark County (330) 413-4107
MR. KOREY A MCCREERY COPRS-S
Peer Specialist
3311 12TH ST NW
CANTON, OH 44708
Stark County (234) 214-9731

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 Recovery Support Services And Sober Living Environments Ll's NPI number?

The NPI number for The Phoenix Recovery Support Services And Sober Living Environments Ll is 1225769847. It was assigned to this organization in the NPPES registry on June 23, 2022.

Where is The Phoenix Recovery Support Services And Sober Living Environments Ll located?

The Phoenix Recovery Support Services And Sober Living Environments Ll is located at 3311 12th St NW, Canton, OH 44708. The listed phone number is (234) 214-9731.

What is The Phoenix Recovery Support Services And Sober Living Environments Ll's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for The Phoenix Recovery Support Services And Sober Living Environments Ll was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.