THE PHOENIX CENTER (NPI# 1063044394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063044394 |
| Entity Type | Organization |
| Organization Name | THE PHOENIX CENTER |
| Practice Address |
1007 N 2nd St Ironton OH 45638-1235 |
| Practice Telephone | 7404427045 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | SHANNON BISHOP (CHIEF PROGRAM OFFICER) |
| Authorized Official Telephone | 2076028683 |
| Authorized Official Credential | LICDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275165599 | The Phoenix Center | Community/Behavioral Health | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-02-05 |
| 1225670813 | The Phoenix Center | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2019-10-15 |
| 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 |
| 1275165599 | The Phoenix Center | Community/Behavioral Health | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-02-05 |
| 1225670813 | The Phoenix Center | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2019-10-15 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851956544 | Growing By Grace Counseling Services | Clinic/Center | 615 Depot Sq, Ironton, OH 45638-1856 | 2019-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902405 | Cunningham Counseling and Consultation, LLC | Clinic/Center | 5986 Abbey Church Rd, Dublin, OH 43017-2541 | 2020-11-02 |
| 1386243939 | Tree of Life Healthcare LLC | Clinic/Center | 3043 Kiwatha Rd, Youngstown, OH 44511-3003 | 2020-10-23 |
| 1245838630 | Midwest Counseling Centers of Ohio | Clinic/Center | 8940 Kingsridge Dr Ste 106, Dayton, OH 45458-1632 | 2020-10-16 |
| 1467066597 | Psychworks LLC | Clinic/Center | 2630 Keysport Ln, Cincinnati, OH 45231-1146 | 2020-09-05 |
| 1881208189 | Child Anxiety Center | Clinic/Center | 4555 Lake Forest Dr Ste 650, Blue Ash, OH 45242-3789 | 2020-09-03 |
| 1104439397 | Pathway To Serenity | Clinic/Center | 115 W Front St Unit 8, Perrysburg, OH 43551-1473 | 2020-08-26 |
| 1154932473 | Phoenix Counseling and Wellness, LLC | Clinic/Center | 35104 Euclid Ave Ste 306, Willoughby, OH 44094-4566 | 2020-08-11 |
| 1205446754 | Right Direction Behavioral Services | Clinic/Center | 17325 Euclid Ave Ste 2013, Cleveland, OH 44112-1250 | 2020-08-07 |
| 1003424573 | Purposed Journey Counseling LLC | Clinic/Center | 11578 Norbourne Dr, Cincinnati, OH 45240-2152 | 2020-07-21 |
| 1407474737 | Life Cycles Development Center LLC | Clinic/Center | 1507 Copley Rd, Akron, OH 44320-2501 | 2020-07-13 |
| 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.