THE PHOENIX GROUP (NPI# 1588989420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588989420 |
| Entity Type | Organization |
| Organization Name | THE PHOENIX GROUP |
| Practice Address |
11 Mae Pl Georgetown SC 29440-6034 |
| Mailing Address |
Po Box 1154 Georgetown SC 29442-1154 |
| Practice Telephone | 8432407597 |
| Mailing Telephone | 8432407597 |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2010-04-04 |
| Authorized Official Name | RODNEY S MOSES (CEO) |
| Authorized Official Telephone | 8435468480 |
| 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 |
|---|---|---|---|---|
| 1942657036 | The Phoenix Group | Psychologist | 346 Lamarido St, Pittsburgh, PA 15226-1331 | 2016-05-18 |
| 1053926105 | The Phoenix Group | Social Worker | 1629 K St Nw Ste 300, Washington, DC 20006-1631 | 2020-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE PHOENIX GROUP | 121 Fairwood Ct, Richland, WA 99352 |
| Indiana Business Entities | THE PHOENIX GROUP 13 INC. | 879 Joliet Street, Suite 202, Dyer, IN 46311 |
| Colorado Business Entities | THE PHOENIX GROUP HOLDING COMPANY | 5101 North Classen Blvd, Suite 207, Oklahoma City, OK 73118 |
| Oklahoma Business Registrations | THE PHOENIX GROUP HOLDING COMPANY | 5101 N Classen Blvd Ste 207, Okla City, OK 73118 |
| Virginia Business Entities | The Phoenix Group Inc. | 999 Waterside Dr, Norfolk, Virginia 23510 |
| Colorado Business Entities | The Phoenix Group International, LLC | 1045 Lincoln Street, Suite 303, Denver, CO 80203 |
| New York State Corporations | THE PHOENIX GROUP INVESTIGATIONS, L.L.C. | Gebhardt & Kieffer, 1318 Route 31, P.o. Box 4001, Clinton, Nj 08809 |
| Virginia Business Entities | The Phoenix Group JV LLC | 17985 Dumfries Shopping Plaza, Suite 201 E, Dumfries, Virginia 22026 |
| Iowa Business Entities | THE PHOENIX GROUP MENTAL HEALTH SERVICES, INC. | 103 2nd Avenue Ne, Clarion, IA 50525 |
| Colorado Business Entities | THE PHOENIX GROUP OF COLORADO SPRINGS, L.L.C. |
| Street Address |
11 MAE PL |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-6034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| 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 |
|---|---|---|---|---|
| 1952918682 | Blue Angels Therapeds, LLC | Community/Behavioral Health | 1400 Rivery Blvd Apt 4116, Georgetown, TX 78628-3041 | 2020-09-27 |
| 1922632249 | Bluegrass Behavioral School for Children | Community/Behavioral Health | 201 Champion Way Ste 2, Georgetown, KY 40324-8860 | 2020-02-25 |
| 1528629565 | Blue Skies Counseling | Community/Behavioral Health | 216 N Race St, Georgetown, DE 19947-1409 | 2019-06-20 |
| 1528541398 | The Stepping Stones Autism Group, LLC | Community/Behavioral Health | 225 San Matteo St, Georgetown, TX 78628-7032 | 2018-09-07 |
| 1386030922 | Turning Point Psychological and Counseling Services Pllc | Community/Behavioral Health | 3011 Dawn Dr Ste 102, Georgetown, TX 78628-2827 | 2015-04-10 |
| 1306245758 | American Best Practices, LLC | Community/Behavioral Health | 1232 Paris Pike, Georgetown, KY 40324-9701 | 2014-08-21 |
| 1588004626 | Sussex Family Counseling LLC | Community/Behavioral Health | 26114 Kits Burrow Ct, Georgetown, DE 19947-5390 | 2013-07-03 |
| 1386998359 | Sc Department of Juvenile Justice | Community/Behavioral Health | 120 Screven St, Georgetown, SC 29440-3642 | 2012-10-30 |
| 1518257328 | Trinity Counseling Agency | Community/Behavioral Health | 152 Bertie Ave, Georgetown, SC 29440-8492 | 2011-04-13 |
| 1689859381 | Lifebridge Counseling Services, Pa | Community/Behavioral Health | 3613 Williams Dr Ste 301, Georgetown, TX 78628-1369 | 2008-01-02 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
Please comment or provide details below to improve the information on THE PHOENIX GROUP.
| 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.