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PHOENIX FAMILY LIFE CENTERS
NPI 1912281031
Clinic/Center - Mental Health (Including Community Mental Health Center) in Alexandria, LA

Active since October 07, 2011
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303(318) 449-4474 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phoenix Family Life Centers NPPES

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

PHOENIX FAMILY LIFE CENTERS (NPI 1912281031) is a healthcare organization registered as a mental health (including community mental health center) in Alexandria, Louisiana and active in the NPI registry since October 2011. The organization maintains 6 additional practice locations and lists Gemmalyn Pryor, Seaside Hc Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1912281031
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameFAIRWAY COUNSELING AGENCY, INC.
Location Address710 VERSAILLES BLVDAlexandria, LA 71303-2351
Mailing Address101 Feu Follet Rd Ste 100Lafayette, LA 70508-4234 · (337) 234-8455 · Fax (318) 449-4472
Phone(318) 449-4474
Organization SubpartNo
Authorized OfficialGemmalyn PryorSeaside Hc Billing Supervisor · (337) 234-8280
Enumeration DateOctober 7, 2011
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1912281031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
710 VERSAILLES BLVD, Alexandria, LA 71303
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Other Names 1

Doing Business AsPhoenix Family Life Centers

Secondary Practice Locations 6

Location 13834 Independence DrAlexandria, LA 71303-3533 · Phone (318) 449-4474 · Fax (318) 449-4472
Location 23683 S First StJena, LA 71342-6409 · Phone (318) 992-2263
Location 3100 Asma Blvd Ste 200Lafayette, LA 70508-3868 · Phone (337) 456-7882
Location 4800 Spring St Ste 205Shreveport, LA 71101-3757 · Phone (318) 670-3170
Location 51112 Nolan Trce Ste BLeesville, LA 71446-3838 · Phone (337) 404-7731
Location 6222 Rue De JeanLafayette, LA 70508-3388 · Phone (337) 456-7880

Other Identifiers 1

Medicaid1803871LA

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.

MID- STATE HOME HEALTH AGENCY INC
Home Health
710 VERSAILLES BLVD
ALEXANDRIA, LA 71303
Rapides Parish (318) 443-9739
LAURA NEAL
Counselor (Professional)
710 VERSAILLES BLVD
ALEXANDRIA, LA 71303
Rapides Parish (318) 449-4474
SARA ALFORD R.S.W.
Counselor (Mental Health)
710 VERSAILLES BLVD
ALEXANDRIA, LA 71303
Rapides Parish (318) 449-4474
SHARON BROWN WHITE
Counselor (Mental Health)
710 VERSAILLES BLVD
ALEXANDRIA, LA 71303
Rapides Parish (318) 449-4474
VERONICA THOMAS
Counselor (Mental Health)
710 VERSAILLES BLVD
ALEXANDRIA, LA 71303
Rapides Parish (318) 449-4474
EMMA WESTERMAN
Counselor (Mental Health)
710 VERSAILLES BLVD
ALEXANDRIA, LA 71303
Rapides Parish (318) 449-4474
TORIANO HURKS
Counselor (Mental Health)
710 VERSAILLES BLVD
ALEXANDRIA, LA 71303
Rapides Parish (318) 449-4474
HOLLIE LALAYNE SANDERS RSW, MHS
Social Worker
710 VERSAILLES BLVD
ALEXANDRIA, LA 71303
Rapides Parish (318) 729-9138

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 Fairway Counseling Agency, Inc.'s NPI number?

The NPI number for Fairway Counseling Agency, Inc. is 1912281031. It was assigned to this organization in the NPPES registry on October 7, 2011. The provider is doing business as Phoenix Family Life Centers.

Where is Fairway Counseling Agency, Inc. located?

Fairway Counseling Agency, Inc. is located at 710 Versailles Blvd, Alexandria, LA 71303. The listed phone number is (318) 449-4474.

What is Fairway Counseling Agency, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Fairway Counseling Agency, Inc. was last updated on June 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.