The Phoenix Family Network

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE PHOENIX FAMILY NETWORK

Practice address

1201 Main St
1980
Columbia, SC 29201-3200

Phone

(704) 219-1374

Fax

(803) 748-1288

NPI assigned

Feb 17, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Hazim Taalib Majeed I

Title

Chairman

Phone

(704) 219-1374

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1164729653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MAIN ST",
            "address_2": "1980",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013200",
            "telephone_number": "704-219-1374",
            "fax_number": "803-748-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MAIN ST",
            "address_2": "1980",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013200",
            "telephone_number": "704-219-1374",
            "fax_number": "803-748-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHOENIX FAMILY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "MAJEED",
        "authorized_official_first_name": "HAZIM",
        "authorized_official_middle_name": "TAALIB",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "704-219-1374",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• Community/Behavioral Health Agency in South Carolina

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