Phoenix Therapeutic Foundation, Inc
Phoenix Therapeutic Foundation, Inc is an Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2007.
- Licensed in
- MD
- In the registry since
- 2007
- Specialties on file
- 5
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5602 Baltimore National Pike Ste 700Baltimore, MD 21228-1411
Phone: (410) 744-9100
Fax: (410) 747-0226
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence D0016432 (MD) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence LCA149 (MD) |
| Mental Health Counselor | Taxonomy 101YM0800X · Licence LC1148 (MD) |
| Social Worker | Taxonomy 104100000X · Licence G08008 (MD) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 11349 (MD) |
Record details
| NPI number | 1033247945 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amr Elbeshir — Program Director Ceo · (410) 744-9100 |
| NPI enumerated | March 1, 2007 |
| Last updated in NPPES | September 27, 2012 |
| Mailing address | 5602 Baltimore National Pike, Suite 700, Baltimore, MD 21228-1411 |
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MS. Betty Ann Phillips
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Mrs. Yolanda Pamela Phillips, MSCACAD
9100 Franklin Square Dr 9100 Franklin Square Dr, Baltimore, MD 21237-3903 · (410) 887-7671
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Phoenix Therapeutic Foundation, Inc
5602 Baltimore National Pike Ste 700, Baltimore, MD 21228-1411 · (410) 744-9100
-
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