DR. ROSLYN PHENIX


Address: 3201 Purington Ave, Fort Worth, TX 76103-2435
Phone: 6822354807

DR. ROSLYN PHENIX (NPI# 1225595689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225595689
Entity Type Individual
Full Name DR. ROSLYN PHENIX
Credential PHD LCPC
Practice Address 3201 Purington Ave
Fort Worth
TX 76103-2435
Mailing Address 2623 Easom Cir Apt 250
Arlington
TX 76006-4120
Practice Telephone 6822354807
Mailing Telephone 8327544943
Enumeration Date 2019-02-21
Last Update Date 2019-02-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
15227 TX Behavioral Health & Social Service Providers

Office Location

Street Address 3201 PURINGTON AVE
City FORT WORTH
State TX
Zip Code 76103-2435

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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750651717 John Wesley Hamlett IIi Counselor 4701 Alta Mesa Blvd, Fort Worth, TX 76133-6112 2012-01-09
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Competitor

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City FORT WORTH
Zip Code 76103

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Dataset Information

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.

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