PHOENIX COUNSELING AND SUPPORT SERVICES NPI 1285148874

NPI Information

NPI: 1285148874
Provider Name: PHOENIX COUNSELING AND SUPPORT SERVICES
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
4855 MACCORKLE AVE SW STE 200
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (304) 806-2273
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PHOENIX COUNSELING AND SUPPORT SERVICES is an addiction (substance use disorder) counselor in South Charleston, WV. PHOENIX COUNSELING AND SUPPORT SERVICES NPI is 1285148874. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4855 MACCORKLE AVE SW STE 200
SOUTH CHARLESTON, WV
ZIP 25309-331
Phone: (304) 806-2273

The provider's authorized official is Jessica Leigh Halstead .
The authorized official title is Director and has the following contact phone number (304) 806-2273.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 11/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	16-121	WEST VIRGINIA	Yes
2	104100000X	Social Worker		BP00942576	WEST VIRGINIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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