PHOENIX HEALTH SERVICES
NPI 1629780812
Substance Abuse Rehabilitation Facility in Baltimore, MD

Q: What is Phoenix Health Services's NPI number?

The NPI number for Phoenix Health Services is 1629780812. It was assigned to this organization in the NPPES registry on December 19, 2022.

Q: What is Phoenix Health Services's specialty?

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

Active since December 19, 2022

3715 MOHAWK AVE STE 200, 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 23, 2026.

Record update history: Feb 5, 2025, Jan 5, 2023, Dec 19, 2022 (3 updates tracked since 2022).

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About Phoenix Health Services NPPES

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

PHOENIX HEALTH SERVICES (NPI 1629780812) 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

NPI1629780812

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NamePHOENIX HEALTH SERVICES

Location Address3715 MOHAWK AVE STE 200Baltimore, MD 21207-7668

Mailing Address2115 N Charles St Ste 200Baltimore, MD 21218-5751 · (443) 631-3303

Phone(443) 631-3303

Organization SubpartNo

Authorized OfficialNicole LivelyCoo · (443) 631-3303

Enumeration DateDecember 19, 2022

Last NPPES UpdateFebruary 5, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2025

✔ NPI 1629780812 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.

3715 MOHAWK AVE STE 200, Baltimore, MD 21207

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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 1629780812. 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 3715 Mohawk Ave Ste 200, 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 18 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.