KENTUCKY PHOENIX PROJECT LLC
NPI 1639956527
Clinic/Center - Rehabilitation, Substance Use Disorder in Prestonsburg, KY

Active since September 13, 2023
5230 KY ROUTE 321 STE 6, PRESTONSBURG, KY 41653(606) 459-5001(606) 548-5477 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kentucky Phoenix Project Llc NPPES

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

KENTUCKY PHOENIX PROJECT LLC (NPI 1639956527) is a healthcare organization registered as a rehabilitation, substance use disorder in Prestonsburg, Kentucky and active in the NPI registry since September 2023. The organization lists Casey Collier, Coo, as its authorized official.

NPPES Registry Identity

NPI1639956527
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameKENTUCKY PHOENIX PROJECT LLC
Location Address5230 KY ROUTE 321 STE 6Prestonsburg, KY 41653-9169
Mailing AddressPo Box 126Prestonsburg, KY 41653-0126 · (606) 459-5001 · Fax (606) 548-5477
Fax(606) 548-5477
Organization SubpartNo
Authorized OfficialCasey CollierCoo · (606) 471-4546
Enumeration DateSeptember 13, 2023
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
NPI 1639956527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
5230 KY ROUTE 321 STE 6, Prestonsburg, KY 41653

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kentucky Phoenix Project LLC's NPI number?

The NPI number for Kentucky Phoenix Project LLC is 1639956527. It was assigned to this organization in the NPPES registry on September 13, 2023.

Where is Kentucky Phoenix Project LLC located?

Kentucky Phoenix Project LLC is located at 5230 Ky Route 321 Ste 6, Prestonsburg, KY 41653. The listed phone number is (606) 459-5001.

What is Kentucky Phoenix Project LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Kentucky Phoenix Project LLC was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.