| Phoenix Center, Inc. | |
|
1007 N 2nd St Ironton OH 45638-1235 | |
| (740) 442-7045 | |
| Not Available |
| Full Name | Phoenix Center, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1007 N 2nd St, Ironton, Ohio |
| Authorized Official Name and Position | Shannon Bishop (CHIEF PROGRAM OFFICER) |
| Authorized Official Contact | 2076028683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Center, Inc. 21 N South St Wilmington OH 45177-2211 Ph: (937) 481-5431 | Phoenix Center, Inc. 1007 N 2nd St Ironton OH 45638-1235 Ph: (740) 442-7045 |
| NPI Number | 1063044394 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063044394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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