PHOENIX RISING BEHAVIORAL HEALTHCARE AND RECOVERY, INC (NPI# 1154592525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154592525 |
| Entity Type | Organization |
| Organization Name | PHOENIX RISING BEHAVIORAL HEALTHCARE AND RECOVERY, INC |
| Practice Address |
1930 Fremont Pl Sw Canton OH 44706-1551 |
| Practice Telephone | 3304555950 |
| Mailing Telephone | 3304555950 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |
| Authorized Official Name | MS. LISA K GRUBBS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3304555950 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 573 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2625985 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710238613 | Phoenix Rising Behavioral Healthcare and Recovery, Inc | Clinic/Center | 624 Market Ave N, Canton, OH 44702-1017 | 2012-10-02 |
| Street Address |
1930 FREMONT PL SW |
| City | CANTON |
| State | OH |
| Zip Code | 44706-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336319409 | Joann Yelichek | Counselor | 1930 Fremont Pl Sw, Canton, OH 44706-1551 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255741666 | Garfield Academy, Inc. | Local Education Agency (LEA) | 1379 Garfield Sw, Canton, OH 44706 | 2014-05-07 |
| 1982748414 | Total Living Center Free Clinic | Clinic/Center | 2221 9th St Sw Free Clinic, 2221 9th St Sw, Canton, OH 44706 | 2007-02-17 |
| 1649283631 | Rohit Prakash | Internal Medicine | 255 Dueber Ave Sw, Canton, OH 44706 | 2006-08-14 |
| 1114936119 | Cindi Renea Dagenhard | Licensed Practical Nurse | 2851 Highview Ave Sw, Canton, OH 44706 | 2006-08-07 |
| 1982018859 | Anne M Mccurdy | Counselor | 811 Faircrest St Sw, Canton, OH 44706 | 2014-06-18 |
| 1326459207 | Marla Mcvicker | Counselor | 811 Faircrest Street Sw, Canton, OH 44706 | 2014-05-14 |
| 1124440607 | Jade Thursia Fishburn | Counselor | 811 Faircrest Street Sw, Canton, OH 44706 | 2014-01-17 |
| 1962831685 | Quest Recovery and Prevention Services, Inc. | Community/Behavioral Health | 811 Faircrest Street Sw, Canton, OH 44706 | 2013-11-04 |
| 1124049663 | Michael L Yutzy | Family Medicine | 2600 6th St Sw, Canton, OH 44706 | 2006-07-21 |
| 1669818092 | Linda May May | Registered Nurse | 217 Harrison Ave Sw, Canton, OH 44706-1118 | 2013-05-13 |
| Find all providers in zip 44706 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992199665 | Ehi Pharmacy Solutions, LLC | Non-Pharmacy Dispensing Site | 132 Riverstone Ter, Ste. 101, Canton, GA 30114-1703 | 2015-03-20 |
| 1346526530 | Back To Life Medical Group, LLC | Non-Pharmacy Dispensing Site | 557 Riverstone Pkwy, Suite 140, Canton, GA 30114-5223 | 2011-11-01 |
| 1801107610 | Health Street Pllc | Non-Pharmacy Dispensing Site | 7321 N Lilley Rd, Canton, MI 48187-2457 | 2010-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245791581 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 50 North Wilson Road, Columbus, OH 43204 | 2019-03-28 |
| 1619417284 | Comprehensive Family Practice of Columbiana | Non-Pharmacy Dispensing Site | 913 Columbiana Canfield Rd, Columbiana, OH 44408-9457 | 2017-03-02 |
| 1710391297 | Toledo Clinic Incorporated | Non-Pharmacy Dispensing Site | 4126 N Holland Sylvania Rd Ste 105, Toledo, OH 43623-3536 | 2014-06-12 |
| 1003102666 | Apollo Medical Management | Non-Pharmacy Dispensing Site | 51342 National Road, Saint Clairsville, OH 43950 | 2011-06-22 |
| 1598054223 | Health Care Products Inc | Non-Pharmacy Dispensing Site | 410 Nisco St, Coldwater, OH 45828-8750 | 2011-04-04 |
| 1184838609 | Snodgrass Eye Care | Non-Pharmacy Dispensing Site | 60 N Miller Rd Ste A, Fairlawn, OH 44333-3702 | 2007-05-10 |
| 1174530141 | Midwest Neuroscience Inc | Non-Pharmacy Dispensing Site | 1 E Main St Ste 200a, Norwalk, OH 44857-1557 | 2006-08-02 |
| 1407475643 | Dedicated Ohio Holding, LLC | Non-Pharmacy Dispensing Site | 6121 Colerain Ave, Cincinnati, OH 45239 | 2020-04-08 |
| 1215566658 | Dedicated Ohio Holding, LLC | Non-Pharmacy Dispensing Site | 5050 Glencrossing Way, Cincinnati, OH 45238-3360 | 2020-04-07 |
| 1003445578 | Dedicated Ohio Holding, LLC | Non-Pharmacy Dispensing Site | 5264 Lee Rd, Maple Heights, OH 44137-1232 | 2020-04-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.