PHOENIX FAMILY RESOURCE CENTER (NPI# 1548789860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548789860 |
| Entity Type | Organization |
| Organization Name | PHOENIX FAMILY RESOURCE CENTER |
| Practice Address |
4284 Memorial Dr Ste D Decatur GA 30032-1220 |
| Mailing Address |
1701 Limestone Ter Lithonia GA 30058-3715 |
| Practice Telephone | 6783585099 |
| Practice Fax Number | 7703887763 |
| Mailing Telephone | 6783585099 |
| Mailing Fax Number | 7703887763 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | MRS. BRENDA LOUISE GRIFFIN (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6783585099 |
| Authorized Official Credential | LPC, CACII, MAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 00242918 | GA | Residential Treatment Facilities |
| Street Address |
4284 MEMORIAL DR STE D |
| City | DECATUR |
| State | GA |
| Zip Code | 30032-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028078 | Anchor Home Healthcare Services, Inc. | Community/Behavioral Health | 3717 Elkridge Drive, Decatur, GA 30032 | 2020-03-19 |
| 1578959201 | Trusted Nurses | Nursing Care | 1959 Barberrie Ln, Decatur, GA 30032 | 2015-04-09 |
| 1225436751 | God's Helper's Private Home Care, LLC | In Home Supportive Care | 1916 Willa Dr, Decatur, GA 30032 | 2014-12-16 |
| 1366878712 | Teresa A Johnson | Counselor | 1585 Cobbs Creek Lane, Decatur, GA 30032 | 2013-09-17 |
| 1629213590 | Curlen L Baird-scott | Registered Nurse | Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 | 2008-12-08 |
| 1659527919 | Louis Aaron Calderon | Psychiatry & Neurology | 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 | 2008-08-18 |
| 1932387982 | Turning Point Behavioral Health and Wellness Center | Community/Behavioral Health | 4292 Memorial Drive Suite C, Decatur, GA 30032 | 2008-02-01 |
| 1528190865 | Jennifer Weeks Kaufman | Speech-Language Pathologist | 1441 Clifton Road Ne, Atlanta, GA 30032 | 2007-03-12 |
| 1093847147 | Mary Sprague | Speech-Language Pathologist | 1441 Clifton Road North East, Atlanta, GA 30032 | 2007-03-12 |
| 1356479976 | Julie Witten | Speech-Language Pathologist | 1441 Clifton Road, N.e., Atlanta, GA 30032 | 2007-03-02 |
| Find all providers in zip 30032 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1164940052 | Transitions Recovery Center | Substance Abuse Rehabilitation Facility | 2855 Candler Rd Ste 16, Decatur, GA 30034-1415 | 2017-08-31 |
| 1457713323 | Breakthru House, Inc. | Substance Abuse Rehabilitation Facility | 1866 Eastfield St, Decatur, GA 30032-4143 | 2016-03-22 |
| 1205949641 | Our Common Welfare, Inc. | Substance Abuse Rehabilitation Facility | 3423 Covington Dr, Suite B, Decatur, GA 30032-1846 | 2006-08-17 |
| 1104481308 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1902966203 | Newport Integrated Behavioral Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4540 Glenwood Rd, Decatur, GA 30032-5166 | 2006-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457902041 | Southeast Addiction Center | Substance Abuse Rehabilitation Facility | 3020 Holcomb Bridge Rd Ste C, Norcross, GA 30071-1375 | 2019-09-25 |
| 1316591811 | Rockridge Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 11030 Jones Bridge Rd Ste 301, Johns Creek, GA 30022-4560 | 2019-08-01 |
| 1225697840 | Aspire Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 3850 Holcomb Bridge Rd Ste 215, Peachtree Corners, GA 30092-5219 | 2019-06-07 |
| 1114584570 | Metro Atlanta Treatment | Substance Abuse Rehabilitation Facility | 416 Roswell St Se, Marietta, GA 30060-2067 | 2019-05-21 |
| 1215492186 | Lanier Treatment Center | Substance Abuse Rehabilitation Facility | 592 Medical Park Dr Ste A, Gainesville, GA 30501-2055 | 2019-02-05 |
| 1700352739 | Blue Ridge Mountain Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 255 Depot St Ste 200, Ball Ground, GA 30107-4065 | 2018-10-17 |
| 1992209811 | Good Landing Recovery, Corporation | Substance Abuse Rehabilitation Facility | 256 Mcmillan Rd Ste B, Dacula, GA 30019-2337 | 2018-03-23 |
| 1164938361 | Atlanta Recovery Place | Substance Abuse Rehabilitation Facility | 1742 Mount Vernon Rd Ste 100, Atlanta, GA 30338-4251 | 2017-12-26 |
| 1104344068 | Summit Bhc Monroe, LLC | Substance Abuse Rehabilitation Facility | 723 Baxter St Ste C, Athens, GA 30605-1134 | 2017-08-31 |
| 1538607346 | Georgia Detox and Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 2300 Windy Ridge Pkwy Se, Ste # 210-s, Atlanta, GA 30339-5665 | 2017-02-01 |
| 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.