PHOENIX HEALTH SERVICES
NPI 1437861630
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since December 19, 2022
3602 MOHAWK AVE, BALTIMORE, MD 21207(443) 631-3303 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2025, Jan 9, 2025, Feb 10, 2023 and 2 more (5 updates tracked since 2022).

About Phoenix Health Services NPPES

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

PHOENIX HEALTH SERVICES (NPI 1437861630) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since December 2022. The organization lists Nicole Lively, Coo, as its authorized official.

NPPES Registry Identity

NPI1437861630
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePHOENIX HEALTH SERVICES
Location Address3602 MOHAWK AVEBaltimore, MD 21207-7665
Mailing Address5616 Park Heights AveBaltimore, MD 21215-3969 · (443) 631-3303
Organization SubpartNo
Authorized OfficialNicole LivelyCoo · (443) 631-3303
Enumeration DateDecember 19, 2022
Last NPPES UpdateFebruary 5, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
NPI 1437861630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
3602 MOHAWK AVE, Baltimore, MD 21207

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
3602 MOHAWK AVE, SUITE 100
BALTIMORE, MD 21207
Counselor (Professional)
3602 MOHAWK AVE, SUITE 200
BALTIMORE, MD 21207
Counselor (Professional)
3602 MOHAWK AVE, SUITE 100
BALTIMORE, MD 21207
Counselor (Professional)
3602 MOHAWK AVE, SUITE 200
BALTIMORE, MD 21207

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 Health Services's NPI number?

The NPI number for Phoenix Health Services is 1437861630. It was assigned to this organization in the NPPES registry on December 19, 2022.

Where is Phoenix Health Services located?

Phoenix Health Services is located at 3602 Mohawk Ave, Baltimore, MD 21207. The listed phone number is (443) 631-3303.

What is Phoenix Health Services's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Phoenix Health Services was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.