THE PHOENIX RECOVERY CENTER LLC NPI 1992125553

NPI Information

NPI: 1992125553
Provider Name: THE PHOENIX RECOVERY CENTER LLC

Doing Business As: THE PHOENIX COUNSELING CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
489 W. SOUTH JORDAN PARKWAY
STE 400
SOUTH JORDAN, UT
ZIP 84095
Phone: (801) 438-3185
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THE PHOENIX RECOVERY CENTER LLC is a rehabilitation and substance use disorder clinic center in South Jordan, UT. THE PHOENIX RECOVERY CENTER LLC NPI is 1992125553. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As The Phoenix Counseling Center.

The provider's business location address is:

489 W. SOUTH JORDAN PARKWAY
STE 400
SOUTH JORDAN, UT
ZIP 84095
Phone: (801) 438-3185
Fax: (801) 438-3184

The provider's authorized official is Kristin Timmons .
The authorized official title is Executive Director and has the following contact phone number (801) 438-3185.

The enumeration date for this NPI number is 4/22/2014 and was last updated on 4/5/2021.

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
1	101Y00000X	Counselor		5549	UTAH	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	5549	UTAH	No
3	101YM0800X	Counselor	Mental Health	5549	UTAH	No
4	101YP2500X	Counselor	Professional	5549	UTAH	No
5	261QM0850X	Clinic/Center	Adult Mental Health	5549	UTAH	No
6	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	5549	UTAH	Yes
7	103K00000X	Behavior Analyst		5549	UTAH	No

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: 11/14/2023

NPI Synchronization or Removal

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