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

Phoenix House Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1861529398

Phoenix House Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Waxhaw, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8916 Woodhall Lake Dr
Waxhaw, NC 28173-6800
Phone: (704) 536-7931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL-060-651 (NC)

Record details

NPI number1861529398
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Taylor — Director · (704) 536-7931
NPI enumeratedFebruary 28, 2007
Last updated in NPPESAugust 22, 2020
Mailing address8916 Woodhall Lake Dr, Waxhaw, NC 28173-6800

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