Phoenix Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2149C Issued in AL

Legal business name

PHOENIX COUNSELING SERVICES, LLC

Practice address

2450B Old Shell Rd
Mobile, AL 36607-3020

Phone

(251) 654-8523

Fax

(251) 633-3176

NPI assigned

Mar 31, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jean Elizabeth Maguire, LCSW, PIP

Title

Sole Proprietor

Phone

(251) 654-8523

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1053600049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450B OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073020",
            "telephone_number": "251-654-8523",
            "fax_number": "251-633-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450B OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073020",
            "telephone_number": "251-654-8523",
            "fax_number": "251-633-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "MAGUIRE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "251-654-8523",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2149C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1255599072",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Dawn Phillips, BSN RN
• Morgan Phillips
• Nicole Rae Zediker Phillips, NP
• Tadie Repoll Phillips
• Whitney Schultz Phillips, FNP
• Physicians Health Solutions Incorporated
• Physicians' Pain Specialists of Al PC
• Physynergy, LLC
• Kathryn Ashley Pica, CRNP
• Paul W Pickard, M.D.

• Clinical Social Worker in Mobile, AL
• Providers in Mobile, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.