What is PHOENIX PSYCHOTHERAPY, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1629461959, enumerated as a organization on March 11, 2015.

Where is the provider located?

The provider is located at 204 MUIRS CHAPEL RD GREENSBORO, NC 27410 and the phone number is (336) 645-5507.

What is the provider's specialty?

The provider's specialty is Community/Behavioral Health with taxonomy code 251S00000X.

PHOENIX PSYCHOTHERAPY, PLLC - NPI 1629461959 - Community/Behavioral Health in Greensboro, NC

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About Phoenix Psychotherapy, Pllc NPPES

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

PHOENIX PSYCHOTHERAPY, PLLC (NPI 1629461959) is a healthcare organization registered as a community/behavioral health in Greensboro, North Carolina and active in the NPI registry since March 2015. The organization lists Ruby Lewis-dodd, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1629461959

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePHOENIX PSYCHOTHERAPY, PLLC

Location Address204 MUIRS CHAPEL RDGreensboro, NC 27410-6173

Mailing Address204 Muirs Chapel RdGreensboro, NC 27410-6173 · (336) 645-5507 · Fax (336) 834-0442

Phone(336) 645-5507

Fax(336) 834-0442

Organization SubpartNo

Authorized OfficialRuby Lewis-doddPsychotherapist · (336) 645-5507

Enumeration DateMarch 11, 2015

✔ NPI 1629461959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NC · A11260

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.

204 MUIRS CHAPEL RD, Greensboro, NC 27410

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