PHOENIX FAMILY SERVICES, LLC (NPI# 1699326710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699326710 |
| Entity Type | Organization |
| Organization Name | PHOENIX FAMILY SERVICES, LLC |
| Practice Address |
14662 Bethany Church Rd Montpelier VA 23192-2611 |
| Mailing Address |
Po Box 245 Montpelier VA 23192-0245 |
| Practice Telephone | 8048836911 |
| Mailing Telephone | 8048836911 |
| Mailing Fax Number | 8048836016 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | KENNTH JASON PRYOR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8049861121 |
| Authorized Official Credential | LMHP-R |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831350982 | Phoenix Family Services, LLC | Community/Behavioral Health | 210 Richards Ave, Piscataway, NJ 08854-2936 | 2008-06-21 |
| Street Address |
14662 BETHANY CHURCH RD |
| City | MONTPELIER |
| State | VA |
| Zip Code | 23192-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407329857 | Kenneth Pryor | Counselor | 14662 Bethany Church Rd, Montpelier, VA 23192-2611 | 2019-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033593165 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 16641 Mountain Rd, Montpelier, VA 23192 | 2015-07-18 |
| 1790092286 | Preston Felty Pugh | Speech-Language Pathologist | 13122 Waltons Tavern Rd, Montpelier, VA 23192 | 2010-09-07 |
| 1568425833 | Catherine Jeanne Rathbone | Occupational Therapist | 16644 Mountain Rd, Montpelier, VA 23192 | 2006-04-08 |
| 1972993244 | Anthony Shibley | Physical Therapy Assistant | 17109 Mountain Rd., Montpelier, VA 23192-0369 | 2015-01-26 |
| 1669518155 | Shasta Styles Jinkins | Pharmacist | 16317 Old Ridge Rd, Montpelier, VA 23192-2229 | 2007-01-30 |
| 1215264148 | Lisa Michelle Raum | Dietitian, Registered | 15250 Rockford Rd, Montpelier, VA 23192-2414 | 2009-11-13 |
| 1306122064 | Kathryn Gearheart Pearsall | Counselor | 14004 Proffitt Farm Rd, Montpelier, VA 23192-2525 | 2011-10-26 |
| 1467779843 | /margo Hancock | Counselor | 17099 Mountain Rd, Montpelier, VA 23192-2549 | 2010-04-26 |
| 1750609152 | Hancock Consortium | Counselor | 17099 Mountain Rd, Montpelier, VA 23192-2549 | 2010-05-10 |
| 1982926317 | Stacy Lee Riedt | Nurse Practitioner | 17112b Mountain Rd, Montpelier, VA 23192-2550 | 2010-02-26 |
| Find all providers in zip 23192 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302552 | Neil Herrick | Counselor | 97 Cedar Hill Ln Apt 12, Montpelier, VT 05602-3546 | 2020-06-28 |
| 1801410741 | Michele Boyd Delaney | Counselor | 90 Main St Ste 311, Montpelier, VT 05602-3242 | 2020-06-06 |
| 1275187288 | Wendy Halley | Counselor | 97 State St, Montpelier, VT 05602-3218 | 2019-07-29 |
| 1407329857 | Kenneth Pryor | Counselor | 14662 Bethany Church Rd, Montpelier, VA 23192-2611 | 2019-01-08 |
| 1487138061 | Brad Joseph Nelson | Counselor | 822 Washigton St, Montpelier, ID 86325-1423 | 2018-09-20 |
| 1508370073 | Virginia Giles | Counselor | 149 State St, Montpelier, VT 05602-2965 | 2017-11-20 |
| 1578072211 | Dianne Turenne | Counselor | 147 State St Ste 4, Montpelier, VT 05602-3301 | 2017-09-26 |
| 1922524370 | Claire Berry | Counselor | 149 State St # 6, Montpelier, VT 05602-2965 | 2017-08-17 |
| 1346653870 | Noah Weinstein | Counselor | 56 E State St, Montpelier, VT 05602-3012 | 2014-06-02 |
| 1225470644 | Lori-ann Christie | Counselor | 52 Prospect Street, Apt 3, Montpelier, VT 05602 | 2013-07-26 |
| Find all providers in MONTPELIER | ||||
| City | MONTPELIER |
| Zip Code | 23192 |
Please comment or provide details below to improve the information on PHOENIX FAMILY SERVICES, LLC.
| 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.