PHOENIX RESOURCE CENTER, INC. (NPI# 1861750911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861750911 |
| Entity Type | Organization |
| Organization Name | PHOENIX RESOURCE CENTER, INC. |
| Practice Address |
506 Tanner St Carrollton GA 30117-3304 |
| Practice Telephone | 7708340021 |
| Practice Fax Number | 6786485594 |
| Mailing Telephone | 7708340021 |
| Mailing Fax Number | 6786485594 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |
| Authorized Official Name | ELIZABETH REAVES (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7708340021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHOENIX RESOURCE CENTER, INC. | 506 Tanner St, Carrollton, GA 30117-3304 |
| Street Address |
506 TANNER ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760772438 | Deborah Hudson Stewart | Counselor | 506 Tanner St, Carrollton, GA 30117-3304 | 2011-04-14 |
| 1053755397 | Darlene Ferrell Patterson | Counselor | 506 Tanner St, Carrollton, GA 30117-3304 | 2013-04-17 |
| 1841541588 | Allison Ragsdale | Counselor | 506 Tanner St, Carrollton, GA 30117-3304 | 2012-09-20 |
| 1740531482 | Roshonda Robinson-powers | Counselor | 506 Tanner St, Carrollton, GA 30117-3304 | 2012-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| 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 |
|---|---|---|---|---|
| 1609206796 | Quest Recovery and Prevention Services, Inc | Community/Behavioral Health | 245 2nd St Nw, Carrollton, OH 44615-1305 | 2013-11-26 |
| 1255644068 | Transitions Therapeutic Services of North Texas, Pllc | Community/Behavioral Health | 4009 Old Denton Rd Ste 114-115, Carrollton, TX 75007-1000 | 2010-07-21 |
| 1760546543 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 153 Independence Drive, Carrollton, GA 30116-9000 | 2006-12-19 |
| 1174589220 | Easter Seals North Texas, Inc. | Community/Behavioral Health | 4443 N Josey Ln, 100, Carrollton, TX 75010-4605 | 2006-04-25 |
| 1104348937 | Mindful Hearts Counseling, Pllc | Community/Behavioral Health | 1925 E Belt Line Rd Ste 258, Carrollton, TX 75006-5801 | 2017-07-13 |
| 1104202456 | Ama Therapy & Co., Inc. | Community/Behavioral Health | 605 Newnan St, Carrollton, GA 30117-3428 | 2015-08-09 |
| 1740674563 | Warr On Wellness, LLC | Community/Behavioral Health | 4524 Lee St, Carrollton, TX 75010-4157 | 2015-03-19 |
| 1154568525 | Hartschuh & Associates, Inc. | Community/Behavioral Health | 3620 N Josey Ln, Suite 114, Carrollton, TX 75007-3151 | 2009-01-07 |
| 1972791853 | Theresa Masek,lpc | Community/Behavioral Health | 415 Dixie St, Carrollton, GA 30117-3921 | 2007-10-04 |
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| 1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
| 1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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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.