1. Home
  2. Directory
  3. South Carolina
  4. Greenville
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

PHOENIX CENTER
NPI 1861892259
Substance Abuse Rehabilitation Facility in Greenville, SC

Active since September 04, 2014CLIA 42D1014412 · Waiver
1400 CLEVELAND ST, GREENVILLE, SC 29607(864) 467-3073(864) 467-3114 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phoenix Center NPPES

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

PHOENIX CENTER (NPI 1861892259) is a healthcare organization registered as a substance abuse rehabilitation facility in Greenville, South Carolina and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through April 3, 2027 and lists Deborah Johnson, Mat Mgr., as its authorized official.

NPPES Registry Identity

NPI1861892259
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePHOENIX CENTER
Location Address1400 CLEVELAND STGreenville, SC 29607-2410
Mailing Address1400 Cleveland StGreenville, SC 29607-2410 · (864) 467-3073 · Fax (864) 467-3114
Phone(864) 467-3073
Fax(864) 467-3114
Organization SubpartNo
Authorized OfficialDeborah JohnsonMat Mgr. · (864) 467-3790
Enumeration DateSeptember 4, 2014
✔ NPI 1861892259 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.

1400 CLEVELAND ST, Greenville, SC 29607
Open in Google Maps ↗

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 42D1014412

Phoenix Center,the · Greenville, SC
Active · expires Apr 3, 2027
CLIA Number42D1014412
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorRebecca L. Maddox
Laboratory Phone(864) 467-3790
Laboratory LocationPhoenix Center,the1400 Cleveland Street, Greenville, SC 29607
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MS. DESIREE RENEE AITCH CAC I
Counselor (Addiction (Substance Use Disorder))
1400 CLEVELAND ST
GREENVILLE, SC 29607
Greenville County (864) 467-3736
MS. DENISE PARNELLA GAMBRELL CAC II, NCAC I, SAP
Counselor (Addiction (Substance Use Disorder))
1400 CLEVELAND ST
GREENVILLE, SC 29607
Greenville County (864) 467-3768
MR. ULYSSES F ROGERS CAC II
Counselor (Addiction (Substance Use Disorder))
1400 CLEVELAND ST
GREENVILLE, SC 29607
Greenville County (864) 467-3786
MISS PAMELA CYRESE DURHAM CACII, LPCS
Counselor (Professional)
1400 CLEVELAND ST
GREENVILLE, SC 29607
Greenville County (864) 467-3918
MISS CHARISSA DAWN HAPPE LMSW
Counselor (Addiction (Substance Use Disorder))
1400 CLEVELAND ST
GREENVILLE, SC 29607
Greenville County (864) 467-3920
MRS. KATINA MARIE THIEME CACII
Counselor (Addiction (Substance Use Disorder))
1400 CLEVELAND ST
GREENVILLE, SC 29607
Greenville County (864) 467-3913
MS. GLORIA J. MILLER CAC1
Counselor (Addiction (Substance Use Disorder))
1400 CLEVELAND ST
GREENVILLE, SC 29607
Greenville County (864) 467-3790
MS. LISA GAYLE VICKERY CAC1, LBSW
Counselor (Addiction (Substance Use Disorder))
1400 CLEVELAND ST
GREENVILLE, SC 29607
Greenville County (864) 467-3790

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 Center's NPI number?

The NPI number for Phoenix Center is 1861892259. It was assigned to this organization in the NPPES registry on September 4, 2014.

Where is Phoenix Center located?

Phoenix Center is located at 1400 Cleveland St, Greenville, SC 29607. The listed phone number is (864) 467-3073.

What is Phoenix Center's specialty?

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

Does Phoenix Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1014412) is associated with this NPI, valid through April 3, 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 Phoenix Center was last updated on September 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.