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PHOENIX COUNSELING AND SUPPORT SERVICES
NPI 1285148874
Counselor - Addiction (Substance Use Disorder) in South Charleston, WV

Active since November 20, 2017
4855 MACCORKLE AVE SW STE 200, SOUTH CHARLESTON, WV 25309(304) 806-2273 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoenix Counseling And Support Services NPPES

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

PHOENIX COUNSELING AND SUPPORT SERVICES (NPI 1285148874) is a healthcare organization registered as an addiction (substance use disorder) in South Charleston, West Virginia and active in the NPI registry since November 2017. The organization lists Jessica Leigh Halstead, Director, as its authorized official.

NPPES Registry Identity

NPI1285148874
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NamePHOENIX COUNSELING AND SUPPORT SERVICES
Location Address4855 MACCORKLE AVE SW STE 200South Charleston, WV 25309-1331
Mailing Address4855 Maccorkle Ave Sw Ste 200South Charleston, WV 25309-1331 · (304) 806-2273
Phone(304) 806-2273
Organization SubpartNo
Authorized OfficialJessica Leigh HalsteadDirector · (304) 806-2273
Enumeration DateNovember 20, 2017
✔ NPI 1285148874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WV · 16-121
Also ListedSocial WorkerTaxonomy 104100000X · License BP00942576 (WV)
4855 MACCORKLE AVE SW STE 200, South Charleston, WV 25309
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

WENDELL CRAIG CULBERTSON
Counselor
4855 MACCORKLE AVE SW STE 200
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 806-2273

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 Counseling And Support Services's NPI number?

The NPI number for Phoenix Counseling And Support Services is 1285148874. It was assigned to this organization in the NPPES registry on November 20, 2017.

Where is Phoenix Counseling And Support Services located?

Phoenix Counseling And Support Services is located at 4855 Maccorkle Ave SW Ste 200, South Charleston, WV 25309. The listed phone number is (304) 806-2273.

What is Phoenix Counseling And Support Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Phoenix Counseling And Support Services was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.