THE PHOENIX COUNSELING AND RECOVERY PROJECT LLC
NPI 1639910003
Clinic/Center - Rehabilitation, Substance Use Disorder in Fort Myers, FL
About The Phoenix Counseling And Recovery Project Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE PHOENIX COUNSELING AND RECOVERY PROJECT LLC (NPI 1639910003), doing business as Phoenix Counseling And Recovery Services, is a healthcare organization registered as a rehabilitation, substance use disorder in Fort Myers, Florida and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Amanda A Maike, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2318193
Phoenix Counseling And Recovery Project, LLC, The · Fort Myers, FLOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT MYERS, FL 33966
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 The Phoenix Counseling And Recovery Project LLC's NPI number?
The NPI number for The Phoenix Counseling And Recovery Project LLC is 1639910003. It was assigned to this organization in the NPPES registry on June 1, 2024. The provider was formerly known as Phoenix Counseling And Recovery Services.
Where is The Phoenix Counseling And Recovery Project LLC located?
The Phoenix Counseling And Recovery Project LLC is located at 3441 Colonial Blvd Ste 2, Fort Myers, FL 33966. The listed phone number is (239) 268-0000.
What is The Phoenix Counseling And Recovery Project LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does The Phoenix Counseling And Recovery Project LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2318193) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for The Phoenix Counseling And Recovery Project LLC was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# The Phoenix Counseling And Recovery Project Llc · NPI 1639910003
Rehabilitation, Substance Use Disorder organization in Fort Myers, Florida. Organization record, active in the CMS NPPES registry since June 1, 2024.
## Identity
- **NPI:** 1639910003 (Entity type: Organization)
- **Enumerated:** June 1, 2024
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Amanda Maike, CEO
## Practice location
- **Address:** 3441 COLONIAL BLVD STE 2, Fort Myers, FL 33966-1121
- **Phone:** (239) 268-0000
## Record status
- **NPPES last updated:** December 9, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639910003) · Data from the CMS NPPES public registry.