Phoenix Thriving, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

39631 Issued in TX

Legal business name

PHOENIX THRIVING, PLLC

Practice address

3400 Kerbey LN
Austin, TX 78703-1455

Phone

(512) 560-7294

Fax

(512) 524-1412

NPI assigned

Sep 6, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Heather L DaviesNPI 1336470103

Title

President and Manager

Phone

(512) 560-7294

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Heather L Davies, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1336470103
  NPD (past) Authorized official

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1295084101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 KERBEY LN",
            "address_2": "BOX 55",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031455",
            "telephone_number": "512-560-7294",
            "fax_number": "512-524-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 KERBEY LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031455",
            "telephone_number": "512-560-7294",
            "fax_number": "512-524-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX THRIVING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT AND MANAGER",
        "authorized_official_telephone_number": "512-560-7294",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "39631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dianne Tyler Philp, DMD
• Phlebotomist on Wheels
• Phoenix Counseling Associates
• Phoenix Rising Counseling & Consulting
• Alisa Phommavong
• Megan Thu Phu, OD
• Physical Medicine and Rehabilitation Associates
• Physical Therapy & Feldenkrais Austin PC
• Physical Therapy Specialty Clinic, PC

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.