PHOENIX COUNSELING CENTER NPI 1679937932

NPI Information

  • NPI: 1679937932
  • Provider Name: PHOENIX COUNSELING CENTER
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 609 E CENTER AVE
    MOORESVILLE, NC
    ZIP 28115
  • Phone: (704) 884-2060

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NPI Details

PHOENIX COUNSELING CENTER is a professional counselor in Mooresville, NC. PHOENIX COUNSELING CENTER NPI is 1679937932. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

609 E CENTER AVE
MOORESVILLE, NC
ZIP 28115-547
Phone: (704) 884-2060
Fax: (704) 854-4860

The provider's authorized official is Kevin P Oliver .
The authorized official title is Ceo and has the following contact phone number (704) 491-0829.

The enumeration date for this NPI number is 4/12/2016 and was last updated on 4/12/2016.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3251S00000XCommunity/Behavioral HealthNo
4101YP2500XCounselorProfessionalYes

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
18301469MEDICAIDNORTH CAROLINA

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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