NPIMap

Organization Active NPI

Phoenix Counseling and Resources, LLC

  • Community/Behavioral Health Agency
  • Florence, AL
National Provider Identifier
1144839408
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PHOENIX COUNSELING AND RESOURCES, LLC
Practice address
1128 Bradshaw Dr
Florence, AL 35630-1438
Phone
(256) 712-5665
Fax
(256) 712-5665
NPI assigned
Jul 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Elysia Gabriel Ergle, LPCNPI 1902356728
Title
Owner
Phone
(256) 712-5665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1128 Bradshaw Dr
Florence, AL 35630-1438

Mailing address

121 Edgewood Dr Unit 3349
Florence, AL 35630-0966
Phone (256) 762-4890

National Provider Directory

National Provider Directory

Locations

1128 Bradshaw Dr
Florence, AL 35630
Phone (256) 712-5665

121 Edgewood Dr
Unit 3349
Florence, AL 35630

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1144839408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EDGEWOOD DR UNIT 3349",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356300966",
            "telephone_number": "256-762-4890",
            "fax_number": "205-430-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 BRADSHAW DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301438",
            "telephone_number": "256-712-5665",
            "fax_number": "256-712-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COUNSELING AND RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "ERGLE",
        "authorized_official_first_name": "ELYSIA",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-712-5665",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.