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

Phoenix House Child Agency

Organization Custodial Care Facility · NPI 1053586065

Phoenix House Child Agency is a Custodial Care Facility in Waxhaw, North Carolina. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

8916 Woodhall Lake Dr
Waxhaw, NC 28173-6800
Phone: (704) 536-7931
Show map & directions

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

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X

Record details

NPI number1053586065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Taylor — Social Worker · (704) 536-7931
NPI enumeratedApril 30, 2008
Last updated in NPPESApril 30, 2008
Mailing address8916 Woodhall Lake Dr, Waxhaw, NC 28173-6800