NPIMap

Organization Active NPI

Phoenix Family Life Center

Doing business as First Choice Addiction Center

  • Addiction (Substance Use Disorder) Counselor
  • Alexandria, LA
National Provider Identifier
1558734954
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1029 Issued in LA
Legal business name
PHOENIX FAMILY LIFE CENTER
Doing business as
First Choice Addiction Center
Practice address
3746 Government St
Suite 8
Alexandria, LA 71302-3252
Phone
(318) 787-6612
Fax
(318) 787-6612
NPI assigned
Nov 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Mr. Charles Ray King, PH.DNPI 1255797965
Title
Director
Phone
(318) 787-6612

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
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 1029 LA Primary

Addresses

Primary practice location

3746 Government St
Suite 8
Alexandria, LA 71302-3252

Mailing address

3746 Government Street
Suite 8
Alexandria, LA 71302
Phone (318) 787-6612

Other names 1

  • First Choice Addiction Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
First Choice Addiction Center2 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.

Locations

3746 Government St
Ste 8
Alexandria, LA 71302
Phone (318) 787-6612

Practitioners & affiliated clinicians

Practitioners 1

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": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1558734954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3746 GOVERNMENT STREET",
            "address_2": "SUITE 8",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71302",
            "telephone_number": "318-787-6612",
            "fax_number": "318-787-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3746 GOVERNMENT ST",
            "address_2": "SUITE 8",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713023252",
            "telephone_number": "318-787-6612",
            "fax_number": "318-787-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX FAMILY LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-787-6612",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Addiction Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.