THE PHOENIX CENTER (NPI# 1225670813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225670813 |
Entity Type | Organization |
Organization Name | THE PHOENIX CENTER |
Practice Address |
1007 N 2nd St Ironton OH 45638-1235 |
Mailing Address |
2529 S 11th St Ironton OH 45638-2656 |
Practice Telephone | 2076028683 |
Mailing Telephone | 9377123121 |
Enumeration Date | 2019-10-15 |
Last Update Date | 2019-11-12 |
Authorized Official Name | SHANNON BISHOP (CHIEF PROGRAM OFFICER) |
Authorized Official Telephone | 2076028683 |
Authorized Official Credential | LCDC III |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
149 Mercy Blvd, Mount Orab, OH 45154 | 9377123121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063044394 | The Phoenix Center | Clinic/Center | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-02-05 |
1275165599 | The Phoenix Center | Community/Behavioral Health | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-02-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | The Phoenix Center for the Healing Arts PLLC | 1455 Pennsylvania Ave Nw, Washington, District Of Columbia 20004 |
New York State Corporations | THE PHOENIX CENTER FOR YOUTH DEVELOPMENT LLC | 1704 Dean Street, Apt 3, Brooklyn, Ny 11213 |
Street Address |
1007 N 2ND ST |
City | IRONTON |
State | OH |
Zip Code | 45638-1235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659988558 | Anna Bloomfield | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-09-25 |
1700493699 | Tara N Myers | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-09-25 |
1134736036 | Kymbria Williams | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-09-25 |
1770119968 | Charles Gorman | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-03-19 |
1063044394 | The Phoenix Center | Clinic/Center | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-02-05 |
1275165599 | The Phoenix Center | Community/Behavioral Health | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-02-05 |
1679124077 | Shannon Bishop | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2019-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629615364 | Ironton & Lawrence County Area Community Action Organization | Clinic/Center | 2325 C, County Rd 26, Ironton, OH 45638 | 2019-12-02 |
1457902793 | Janet Hanshaw | Technician | 1923 2nd Street, Ironton, OH 45638 | 2019-09-27 |
1881123149 | Paul Ryan Krum | Specialist/Technologist | 1497 County Road 44 South, Ironton, OH 45638 | 2017-06-08 |
1114474665 | Kirt R Shipley | Pharmacist | 1848 St Rt 141, Ironton, OH 45638 | 2016-09-01 |
1114398633 | Ryan Munion | Licensed Practical Nurse | 1020 N 5th St, Ironton, OH 45638 | 2015-10-09 |
1821417411 | Bobbie Lynne Oliver | Registered Nurse | 523 Gallia Pike, Ironton, OH 45638 | 2014-04-10 |
1518202977 | Carol Jean Ashworth | Licensed Practical Nurse | 2932 S. 5th Street, Sanctuary of The Ohio Valley, Ironton, OH 45638 | 2012-12-11 |
1326337494 | April Dawn Pemberton | Registered Nurse | 97 Township Rd 1376, Ironton, OH 45638 | 2011-03-29 |
1437451614 | New Beginnings Behavioral Health | Social Worker | 611 Railroad St, Ironton, OH 45638 | 2010-11-22 |
1245532654 | Patrio D Tismo Pa Inc | Family Medicine | 107 North 3rd Street, Ironton, OH 45638 | 2010-11-18 |
Find all providers in zip 45638 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942817358 | Keely Shaye Kerns | Counselor | 1022 N 5th St, Ironton, OH 45638-1214 | 2020-09-29 |
1205313772 | Tonya Cantrell | Counselor | 81 Township Road 349 # 6, Ironton, OH 45638-8617 | 2018-07-26 |
1336657873 | Kimberly Renee Hartley | Counselor | 5998 State Route 650, Ironton, OH 45638-8652 | 2018-01-18 |
1972100014 | United Family Recovery, LLC | Counselor | 117 N 4th St, Ironton, OH 45638-1403 | 2020-10-01 |
1659988558 | Anna Bloomfield | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-09-25 |
1700493699 | Tara N Myers | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-09-25 |
1134736036 | Kymbria Williams | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-09-25 |
1730797309 | Nina Danielle Swartzmiller | Counselor | 2111 S 7th St, Ironton, OH 45638-2538 | 2020-07-20 |
1316555352 | Kathy Jean Lewis | Counselor | 1724 S 3rd St, Ironton, OH 45638-2269 | 2020-07-15 |
1770119968 | Charles Gorman | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-03-19 |
Find all providers in IRONTON |
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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.