PHOENIX PROFESSIONAL SERVICES (NPI# 1740514579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740514579 |
| Entity Type | Organization |
| Organization Name | PHOENIX PROFESSIONAL SERVICES |
| Practice Address |
108 N Fayetteville St Liberty NC 27298-3203 |
| Mailing Address |
Po Box 1303 Greensboro NC 27402-1303 |
| Practice Telephone | 3365084884 |
| Practice Fax Number | 8665779894 |
| Mailing Telephone | 3365084884 |
| Mailing Fax Number | 8665779894 |
| Enumeration Date | 2009-09-26 |
| Last Update Date | 2009-09-26 |
| Authorized Official Name | RICK BUTLER (OWNER) |
| Authorized Official Telephone | 3365084884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801214986 | Phoenix Professional Services | Community/Behavioral Health | 29 Connecticut Blvd, East Hartford, CT 06108-3008 | 2014-04-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Phoenix Professional Services, LLC | 44 Lawlor St, Apt 1s, New Britain, CT 06051 |
| Street Address |
108 N FAYETTEVILLE ST |
| City | LIBERTY |
| State | NC |
| Zip Code | 27298-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447445739 | Caroline Peter Edwards | Pharmacist | 204 Liberty Plaza, West Swannanoa Avenue, Liberty, NC 27298 | 2007-09-10 |
| 1174682223 | North Carolina Cvs Pharmacy LLC | Pharmacy | 204 Liberty Plz, Liberty, NC 27298 | 2006-12-06 |
| 1336210723 | Thomas Edgar Butler Jr. | Dentist | 524 N Greensboro St, Liberty, NC 27298 | 2006-11-10 |
| 1336218221 | Dr. Thomas L Blake Pa | Chiropractor | 104 N Greensboro Street, Liberty, NC 27298 | 2006-11-07 |
| 1932286010 | Community Innovations Inc 66 | Intermediate Care Facility, Mentally Retarded | 313 East Brookwood Avenue, Liberty, NC 27298 | 2006-11-01 |
| 1235215377 | Randolph Ear, Nose & Throat Associates, P.a. | Otolaryngology | 139 W. Swannanoa Ave, Liberty, NC 27298 | 2006-10-31 |
| 1104871383 | Philip J. Karam | Family Medicine | 10046 Old Liberty Road, Liberty, NC 27298 | 2006-05-24 |
| 1437673118 | Christi Meads | Pharmacist | 204 Liberty Plaza, Liberty, NC 27298 | 2017-08-03 |
| 1326423419 | Dabney Allen | Pharmacist | 204 Liberty Plaza, Liberty, NC 27298 | 2015-07-30 |
| 1841605979 | Elizabeth W Mumaw | Family Medicine | 504 N Greensboro St, Liberty, NC 27298 | 2014-06-27 |
| Find all providers in zip 27298 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598182354 | Touchstone Residential Services | Community/Behavioral Health | 7942 Garrett Rd, Liberty, NC 27298-8656 | 2014-03-18 |
| 1356677694 | Masata, Inc. | Community/Behavioral Health | 549 Middleburg St., Liberty, KY 42539 | 2009-10-21 |
| 1548422678 | Liberty Psychological Services, L.L.C. | Community/Behavioral Health | 32 Westwoods Dr, Liberty, MO 64068-3519 | 2008-06-30 |
| 1104450337 | Sana Lake Recovery Center, LLC | Community/Behavioral Health | 1512 Ne 96th St Ste A, Liberty, MO 64068-7174 | 2020-02-26 |
| 1194260471 | Marlene Littleton, LLC | Community/Behavioral Health | 1170 W Kansas St, Building 10, Liberty, MO 64068-2036 | 2016-12-22 |
| 1245781525 | Spirit of Hope Counseling Services, LLC | Community/Behavioral Health | 9 Victory Dr, Suite 2b, Liberty, MO 64068-3807 | 2016-10-20 |
| 1194180125 | Leslie N. Jones, Ph.d., L.L.C. | Community/Behavioral Health | 112 Westwoods Dr, Liberty, MO 64068-1181 | 2015-12-17 |
| 1255629317 | Jeffery D Janney LLC | Community/Behavioral Health | 113 Blue Jay Dr, Suite 101, Liberty, MO 64068-1918 | 2011-07-11 |
| 1063732733 | Family Christian Care Service | Community/Behavioral Health | 623 Main St, Suite 3, Liberty, TX 77575-4849 | 2010-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| 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.