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

Phoenix Rehabilitation Services LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1174484596

Phoenix Rehabilitation Services LLC is a Substance Abuse Rehabilitation Facility in Mount Vernon, Kentucky. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2184 S Wilderness Rd
Mount Vernon, KY 40456-7631
Phone: (606) 256-0000
Fax: (606) 256-0008
Show map & directions

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

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1174484596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tintisha Clanton — Credentialing/Billing Manager · (502) 229-7820
Other names My Brothers Keepers
NPI enumeratedNovember 24, 2025
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address2184 S Wilderness Rd, Mount Vernon, KY 40456-7631