| Phoenix Psychiatry Services | |
|
1544 Winchester Ave Suite 701 Ashland KY 41101-7923 | |
| (606) 329-1016 | |
| Not Available |
| Full Name | Phoenix Psychiatry Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1544 Winchester Ave, Ashland, Kentucky |
| Authorized Official Name and Position | Emmanuel Eze (OWNER) |
| Authorized Official Contact | 6063291016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Psychiatry Services Po Box 650 Ashland KY 41105-0650 Ph: (606) 329-1016 | Phoenix Psychiatry Services 1544 Winchester Ave Suite 701 Ashland KY 41101-7923 Ph: (606) 329-1016 |
| NPI Number | 1649375841 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649375841 | NPI | - | NPPES |
| 65941460 | Medicaid | KY | |
| DB8637 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 31810 (Kentucky) | Primary |
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