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PHOENIX ASSOCIATES COUNSELING SERVICES INC. NPI 1629320478


NPI Information

NPI: 1629320478
Provider Name: PHOENIX ASSOCIATES COUNSELING SERVICES, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
801 ROAD TO SIX FLAGS W STE 132
ARLINGTON, TX
ZIP 76012
Phone: (817) 795-3030
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PHOENIX ASSOCIATES COUNSELING SERVICES, INC. is a community behavioral health in Arlington, TX. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PHOENIX ASSOCIATES COUNSELING SERVICES, INC. NPI is 1629320478. The provider is registered as an organization entity type.

The provider's business location address is:

801 ROAD TO SIX FLAGS W STE 132
ARLINGTON, TX
ZIP 76012-600
Phone: (817) 795-3030
Fax: (817) 795-3099

The provider's authorized official is David J Cudmore .
The authorized official title is Director Of Development and has the following contact phone number (817) 338-0311.

The enumeration date for this NPI number is 10/3/2012 and was last updated on 7/21/2022.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)1656-3039TEXASNo
2261QM1300XClinic/CenterMulti-Specialty1656-3039TEXASNo
3251S00000XCommunity/Behavioral Health1656-3039TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1212971001MEDICAIDTEXAS

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: 5/5/2024

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