PHOENIX BEHAVIORAL HEALTH SERVICES INC. NPI 1972330272

NPI Information

  • NPI: 1972330272
  • Provider Name: PHOENIX BEHAVIORAL HEALTH SERVICES, INC.
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 9109 BAYMEADOWS RD STE 3
    JACKSONVILLE, FL
    ZIP 32256
  • Phone: (904) 227-2280

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NPI Details

PHOENIX BEHAVIORAL HEALTH SERVICES, INC. is an adult mental health clinic center in Jacksonville, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PHOENIX BEHAVIORAL HEALTH SERVICES, INC. NPI is 1972330272. The provider is registered as an organization entity type.

The provider's business location address is:

9109 BAYMEADOWS RD STE 3
JACKSONVILLE, FL
ZIP 32256-842
Phone: (904) 227-2280

The provider's authorized official is Chermera Yvonne Smith .
The authorized official title is Director and has the following contact phone number (904) 227-2280.

The enumeration date for this NPI number is 9/19/2024 and was last updated on 9/19/2024.

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
1261QM0850XClinic/CenterAdult Mental HealthYes
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QP2300XClinic/CenterPrimary CareNo
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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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