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PHOENIX LLC
NPI 1700297876
Community/Behavioral Health in Roanoke, VA

Active since May 12, 2014
4919 BRAMBLETON AVE, ROANOKE, VA 24018(540) 685-4298(540) 685-4299 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Llc NPPES

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

PHOENIX LLC (NPI 1700297876) is a healthcare organization registered as a community/behavioral health in Roanoke, Virginia and active in the NPI registry since May 2014. The organization lists Ashley Callahan, Owner, as its authorized official.

NPPES Registry Identity

NPI1700297876
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePHOENIX LLC
Location Address4919 BRAMBLETON AVERoanoke, VA 24018-4149
Mailing Address4919 Brambleton AveRoanoke, VA 24018-4149 · (540) 685-4298 · Fax (540) 685-4299
Phone(540) 685-4298
Fax(540) 685-4299
Organization SubpartNo
Authorized OfficialAshley CallahanOwner · (540) 685-4298
Enumeration DateMay 12, 2014
Last NPPES UpdateJanuary 20, 2015
✔ NPI 1700297876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in VA · 1910-03-001
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.
4919 BRAMBLETON AVE, Roanoke, VA 24018
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Other Providers at the Same Location NPPES

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

MARJORIE GIDWITZ-FERGUSON LCSW
Social Worker (Clinical)
4919 BRAMBLETON AVE
ROANOKE, VA 24018
Roanoke County (540) 685-4298

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 LLC's NPI number?

The NPI number for Phoenix LLC is 1700297876. It was assigned to this organization in the NPPES registry on May 12, 2014.

Where is Phoenix LLC located?

Phoenix LLC is located at 4919 Brambleton Ave, Roanoke, VA 24018. The listed phone number is (540) 685-4298.

What is Phoenix LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Phoenix LLC was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.