Phoenix House of Hope Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

PHOENIX HOUSE OF HOPE INC

Practice address

2561 SW Grotto Cir
Port Saint Lucie, FL 34953-2927

Phone

(772) 236-3402

Fax

(772) 236-3402

NPI assigned

Jul 20, 2026

Organization subpart

No

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

Authorized official

Name

Phoenix House of Hope Inc Laurenceau

Title

MSW

Phone

(786) 326-8742

Specialties & licenses 5

Addresses

Tax ID family

Phoenix House of Hope Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phoenix House of Hope Inc

  • Case Management Agency
  • Port Saint Lucie, FL
  • NPI 1861328809
  NPD tax ID

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1366362196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 SW GROTTO CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532927",
            "telephone_number": "772-236-3402",
            "fax_number": "772-236-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 SW GROTTO CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532927",
            "telephone_number": "772-236-3402",
            "fax_number": "772-236-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOUSE OF HOPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "LAURENCEAU",
        "authorized_official_first_name": "PHOENIX HOUSE OF HOPE INC",
        "authorized_official_title_or_position": "MSW",
        "authorized_official_telephone_number": "786-326-8742"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bambi Petrinic, M.D.
• Adam Joseph Petrone, DC
• Dominique Petrone, DMD
• Vu Pham, DMD
• Celestina Marie Silvas Phoebus, M.S.
• Phoenix House of Hope Inc
• Phoenix Resolutions Treatment Center
• Phoenix Resolutions Treatment Facility
• Tran Phung
• Physical Therapy Connection LLC

• Addiction (Substance Use Disorder) Counselor in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.