Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Green Phoenix Behavioral Health Services

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1023875010

Green Phoenix Behavioral Health Services is a Mental Health Clinic/Center (Including Community Mental Health Center) in Dallas, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3154 Memorial Hwy Ste 100
Dallas, PA 18612-9203
Phone: (570) 855-9404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1023875010
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Rodriguez Rogers — Owner · (570) 855-9404
Other names Green Phoenix; Green Phoenix
NPI enumeratedMarch 5, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address2182 State Route 29 Hwy, Hunlock Creek, PA 18621-4512

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