PHOENIX COMMUNITY SUPPORT SERVICES LLC NPI 1518563329

NPI Information

  • NPI: 1518563329
  • Provider Name: PHOENIX COMMUNITY SUPPORT SERVICES LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 4111 AVENUE L
    BIRMINGHAM, AL
    ZIP 35208
  • Phone: (803) 849-2925

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NPI Details

PHOENIX COMMUNITY SUPPORT SERVICES LLC is a mental health (including community mental health center) clinic center in Birmingham, AL. PHOENIX COMMUNITY SUPPORT SERVICES LLC NPI is 1518563329. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4111 AVENUE L
BIRMINGHAM, AL
ZIP 35208-807
Phone: (803) 849-2925

The provider's authorized official is Lashunda Smith Pope .
The authorized official title is Owner and has the following contact phone number (803) 849-2925.

The enumeration date for this NPI number is 12/7/2020 and was last updated on 12/7/2020.

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
2261QM0801XClinic/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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