PHOENIX PLACE NPI 1053128439

NPI Information

  • NPI: 1053128439
  • Provider Name: PHOENIX PLACE
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 4 CECELIA DR
    AMELIA, OH
    ZIP 45102
  • Phone: (513) 752-6170

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NPI Details

PHOENIX PLACE is a mental health (including community mental health center) clinic center in Amelia, OH. PHOENIX PLACE NPI is 1053128439. The provider is registered as an organization entity type.

The provider's business location address is:

4 CECELIA DR
AMELIA, OH
ZIP 45102-906
Phone: (513) 752-6170

The provider's authorized official is Zoe Fiscus Doss .
The authorized official title is Executive Director and has the following contact phone number (513) 752-6170.

The enumeration date for this NPI number is 12/18/2024 and was last updated on 12/18/2024.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/21/2025

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