THE PHOENIX RECOVERY & COUNSELING CENTER - OREM
NPI 1932657491
Clinic/Center - Rehabilitation, Substance Use Disorder in Orem, UT
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About THE PHOENIX RECOVERY & COUNSELING CENTER - OREM
This page provides the complete NPI Profile along with additional information for The Phoenix Recovery & Counseling Center - Orem, a provider established in Orem, Utah operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1932657491 assigned on September 2016. The practitioner's primary taxonomy code is 261QR0405X with license number 30206 (UT). The provider is registered as an organization and their NPI record was last updated 10 years ago. The Phoenix Recovery & Counseling Center - Orem operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Bradley Christensen (Operations Director)
- NPI
- 1932657491 Verify this NPI
- Provider Name
- THE PHOENIX RECOVERY & COUNSELING CENTER - OREM
- Entity Type
- Organization
- Location Address
- 857 W CENTER ST OREM, UT 84057
- Location Phone
- (801) 691-1761
- Location Fax
- (801) 691-1759
- Mailing Address
- 11762 S STATE ST SUITE 360 DRAPER, UT 84020
- Mailing Phone
- (801) 571-6798
- Mailing Fax
- (801) 619-2016
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-13-2016
- Last Update Date
- 09-13-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- 30206
- License State
- UT
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | 30206 (UT) |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 30206 (UT) |
| 3 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 30206 (UT) |
| 4 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 30206 (UT) |
| 5 | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | 30206 (UT) |
| 6 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | 30206 (UT) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932657491, enumerated as an "organization" on September 13, 2016.
The provider is located at 857 W CENTER ST OREM, UT 84057 and the phone number is (801) 691-1761.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.