| Phoenix Counseling And Recovery Services, Llc | |
|
1102 Kindley St Greensboro NC 27406-4213 | |
| (336) 458-7135 | |
| Not Available |
| Full Name | Phoenix Counseling And Recovery Services, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1102 Kindley St, Greensboro, North Carolina |
| Authorized Official Name and Position | Sardie Rochelle Izzard (OWNER) |
| Authorized Official Contact | 3365504558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Counseling And Recovery Services, Llc 405 Battleground Ave Ste 203 Greensboro NC 27401-2153 Ph: (335) 550-4558 | Phoenix Counseling And Recovery Services, Llc 1102 Kindley St Greensboro NC 27406-4213 Ph: (336) 458-7135 |
| NPI Number | 1477065415 |
|---|---|
| Provider Enumeration Date | 10/31/2017 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477065415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-22298 (North Carolina) | Primary |
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