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

The Phoenix House LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1194660936

The Phoenix House LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Middlesboro, Kentucky. Registered with an NPI since 2026.

In the registry since
2026
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

106 Chasteen Dr
Middlesboro, KY 40965-2519
Phone: (918) 896-8380
Show map & directions

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

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1194660936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Misty Panther — Executive Director · (918) 896-8380
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address106 Chasteen Dr, Middlesboro, KY 40965-2519