PHOENIX COUNSELING AND RECOVERY SERVICES LLC NPI 1477065415

NPI Information

NPI: 1477065415
Provider Name: PHOENIX COUNSELING AND RECOVERY SERVICES, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1102 KINDLEY ST
GREENSBORO, NC
ZIP 27406
Phone: (336) 458-7135
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PHOENIX COUNSELING AND RECOVERY SERVICES, LLC is an addiction (substance use disorder) counselor in Greensboro, NC. PHOENIX COUNSELING AND RECOVERY SERVICES, LLC NPI is 1477065415. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1102 KINDLEY ST
GREENSBORO, NC
ZIP 27406-213
Phone: (336) 458-7135

The provider's authorized official is Sardie Rochelle Izzard .
The authorized official title is Owner and has the following contact phone number (336) 550-4558.

The enumeration date for this NPI number is 10/31/2017 and was last updated on 3/28/2024.

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)	LCAS-22298	NORTH CAROLINA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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