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PHOENIX LLC
NPI 1356938146
Community/Behavioral Health in Council Bluffs, IA

Active since December 28, 2020
2226 5TH AVE, COUNCIL BLUFFS, IA 51501(402) 378-5755 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2024, Dec 28, 2020 (2 updates tracked since 2020).

About Phoenix Llc NPPES

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

PHOENIX LLC (NPI 1356938146) is a healthcare organization registered as a community/behavioral health in Council Bluffs, Iowa and active in the NPI registry since December 2020. The organization lists Joquana Goynes, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1356938146
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePHOENIX LLC
Location Address2226 5TH AVECouncil Bluffs, IA 51501-3735
Mailing Address2226 5th AveCouncil Bluffs, IA 51501-3735 · (402) 378-5755
Phone(402) 378-5755
Organization SubpartNo
Authorized OfficialJoquana GoynesExecutive Director · (402) 378-5755
Enumeration DateDecember 28, 2020
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1356938146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2226 5TH AVE, Council Bluffs, IA 51501
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Other Providers at the Same Location NPPES

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

PHOENIX LLC
Community/Behavioral Health
2226 5TH AVE
COUNCIL BLUFFS, IA 51501
Pottawattamie County (402) 378-5755

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 LLC's NPI number?

The NPI number for Phoenix LLC is 1356938146. It was assigned to this organization in the NPPES registry on December 28, 2020.

Where is Phoenix LLC located?

Phoenix LLC is located at 2226 5th Ave, Council Bluffs, IA 51501. The listed phone number is (402) 378-5755.

What is Phoenix LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Phoenix LLC was last updated on September 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.