PHOENIX CENTER INC. NPI 1063044394

NPI Information

  • NPI: 1063044394
  • Provider Name: PHOENIX CENTER, INC.
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • CLIA Number: 36D2308535
  • Address: 1007 N 2ND ST
    IRONTON, OH
    ZIP 45638
  • Phone: (740) 442-7045

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NPI Details

PHOENIX CENTER, INC. is an addiction (substance use disorder) counselor in Ironton, OH. PHOENIX CENTER, INC. NPI is 1063044394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1007 N 2ND ST
IRONTON, OH
ZIP 45638-235
Phone: (740) 442-7045

The provider's authorized official is Shannon Bishop .
The authorized official title is Chief Program Officer and has the following contact phone number (207) 602-8683.

The CLIA number assigned to this NPI record is 36D2308535 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/5/2020 and was last updated on 1/22/2024.

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
1101YM0800XCounselorMental HealthNo
2101YA0400XCounselorAddiction (Substance Use Disorder)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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