PHSB Sober Living

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

PHSB SOBER LIVING

Doing business as

PHSB Sober living

Practice address

17709 Euclid Ave
Cleveland, OH 44112-1217

Phone

(216) 376-5343

NPI assigned

Oct 28, 2024

Organization subpart

No

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

Authorized official

Name

Pernell Hobley

Title

Owner

Phone

(216) 376-5343

Specialties & licenses 1

Addresses

Other names 1

• PHSB Sober living Doing business as

Locations

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1285456624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17709 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121217",
            "telephone_number": "216-376-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17709 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121217",
            "telephone_number": "216-376-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHSB SOBER LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "HOBLEY",
        "authorized_official_first_name": "PERNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-376-5343"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHSB Sober living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karla Ann Phipps, RNC, MSN, CNP
• Phoenix Eye Care Inc
• Bre'Anna Renee Phoenix
• Lateef Devon Phoenix
• Poukphanh Serena Phounsavath
• Hoang Phung
• Linh Gia Phung, PHARM.D
• Ngoc Phung
• Heather Phyfer, R.N.
• Physicians Provider Services,Inc

• Addiction (Substance Use Disorder) Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.