PHOENIX CENTER COMMUNITY SERVICE BOARD (NPI# 1841379310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841379310 |
| Entity Type | Organization |
| Organization Name | PHOENIX CENTER COMMUNITY SERVICE BOARD |
| Other Organization Name | PHOENIX CENTER BHS |
| Practice Address |
100 Story Rd Warner Robins GA 31093-1247 |
| Mailing Address |
940 Ga Highway 96 Warner Robins GA 31088-2584 |
| Practice Telephone | 4789881002 |
| Mailing Telephone | 4789881002 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOYCE JACKSON (EXEC DIRECTOR) |
| Authorized Official Telephone | 4789881002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | ========= | GA | Agencies |
| Other Name | Type Code |
|---|---|
| PHOENIX CENTER BHS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114195914 | Phoenix Center Community Service Board | Community/Behavioral Health | 80 Wright Ave, Roberta, GA 31078 | 2008-02-14 |
| 1154400729 | Phoenix Center Community Service Board | Community/Behavioral Health | 301 North Ave, Warner Robins, GA 31093-1931 | 2006-11-03 |
| 1497834063 | Phoenix Center Community Service Board | Community/Behavioral Health | 1600 Watson Blvd, Warner Robins, GA 31093-3459 | 2006-11-03 |
| Street Address |
100 STORY RD |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31093-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922654102 | Hui Bostian | Technician | 402 Pinecrest Dr., Warner Robins, GA 31093 | 2019-08-14 |
| 1457914616 | Janvi Hemantkumar Wadiwala | Student in an Organized Health Care Education/Training Program | 233 North Houston Rd, Suite 140e, Warner Robins, GA 31093 | 2019-04-15 |
| 1477033124 | Urological Health Center, PC | Urology | 1770 Watson Boulevard, Warner Robins, GA 31093 | 2018-08-21 |
| 1477043719 | Revealing Strength Counseling, LLC | Counselor | 2762 Watson Blvd, Warner Robins, GA 31093 | 2018-05-11 |
| 1265930069 | Alma J Ellington | Counselor | 306 North Davis Drive, Suite B Room 4, Warner Robins, GA 31093 | 2018-01-26 |
| 1841707668 | Guiding Light Healthcare Services | Family Medicine | 306 N. Davis Dr., Suite B, Warner Robins, GA 31093 | 2018-01-02 |
| 1083143416 | Rosa C Gilbert | Counselor | 303 Mimosa, Warner Robins, GA 31093 | 2017-06-08 |
| 1982141545 | Ariel Young | Psychologist | 104 Stanton Circle, Warner Robins, GA 31093 | 2017-01-20 |
| 1801259437 | Gramps 'n' Grannies, Inc. | Assisted Living Facility | 502 North Huston Rd., Warner Robins, GA 31093 | 2016-03-31 |
| 1710346903 | Brenda Marie Warren | Marriage & Family Therapist | 106-b Olympia Dr., Warner Robins, GA 31093 | 2016-02-16 |
| Find all providers in zip 31093 | ||||
| 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 |
|---|---|---|---|---|
| 1538799952 | Triumphant Therapeutic Services, LLC | Community/Behavioral Health | 108 Olympia Dr Ste 202c, Warner Robins, GA 31093-3626 | 2020-01-24 |
| 1023579778 | Empowered Living Counseling and Life Coaching, LLC | Community/Behavioral Health | 409 Brantley Rdg, Warner Robins, GA 31088-2578 | 2019-03-26 |
| 1164961876 | River Edge Behavioral Health Center | Community/Behavioral Health | 281 Carl Vinson Pkwy, Suite D, Warner Robins, GA 31088-5824 | 2017-02-14 |
| 1245776665 | Providence Psychotherapy LLC | Community/Behavioral Health | 304 Cheshire Dr, Warner Robins, GA 31088-1158 | 2017-01-09 |
| 1285090662 | Clara Braswell Lpc | Community/Behavioral Health | 418 Westcliff Cir, Warner Robins, GA 31093-3099 | 2016-01-14 |
| 1184059156 | Pinnacle Counseling | Community/Behavioral Health | 151 Tabor Dr, Warner Robins, GA 31093-8703 | 2013-09-10 |
| 1225378029 | Trinity Behavioral Health | Community/Behavioral Health | 344a Corder Road, Warner Robins, GA 31088-5854 | 2013-02-15 |
| 1104188341 | Beacon Insight Counseling | Community/Behavioral Health | 104 Whiting Way Ste 200, Warner Robins, GA 31088-8055 | 2012-06-13 |
| 1699040584 | Mentor Plus Inc. | Community/Behavioral Health | 114-a South Commercial Cir, Warner Robins, GA 31088 | 2012-03-12 |
| 1750619789 | Inspire-hope Counseling and Consulting, LLC | Community/Behavioral Health | 507 N Davis Dr, Suite E, Warner Robins, GA 31093-2686 | 2009-12-02 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31093 |
Please comment or provide details below to improve the information on PHOENIX CENTER COMMUNITY SERVICE BOARD.
| 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.