Phoenix Place
Phoenix Place is an Addiction (Substance Use Disorder) Counselor in Louisville, Kentucky. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 6
Practice location Address checks out
2012 W Chestnut StLouisville, KY 40203-1542
Phone: (502) 656-9261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Mental Health Counselor | Taxonomy 101YM0800X |
| Case Management Agency | Taxonomy 251B00000X |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
| Children's Substance Abuse Rehabilitation Facility | Taxonomy 3245S0500X |
Record details
| NPI number | 1740065713 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Diamond Calloway — Executive Director · (502) 656-9261 |
| NPI enumerated | August 29, 2023 |
| Last updated in NPPES | May 7, 2024 |
| Certification date | May 7, 2024 |
| Mailing address | 2012 W Chestnut St, Louisville, KY 40203-1542 |
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