Phoenix Houses of Texas, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PHOENIX HOUSES OF TEXAS, INC

Practice address

2803 Mossrock Drive
Offices 113, 122; Meeting Rooms 3 & 4, Rooms 103 & 106
San Antonio, TX 78230-5131

Phone

(512) 440-0613

NPI assigned

Feb 28, 2019

Organization subpart

No

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

Authorized official

Name

Drew Dutton

Title

President & Ceo

Phone

(817) 932-5050

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Phoenix Houses of Texas, Inc. Doing business as

Tax ID family

Phoenix Houses of Texas Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Phoenix Houses of Texas, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Round Rock, TX
  • NPI 1306259932
  NPD tax ID
• Phoenix Houses of Texas, Inc

  • Multi-Specialty Clinic/Center
  • Dallas, TX
  • NPI 1508992249
  NPD tax ID
• Phoenix Houses of Texas, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Houston, TX
  • NPI 1265782791
  NPD tax ID

Locations

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1639636335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 PACIFIC AVE STE 10500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014591",
            "telephone_number": "214-920-1628",
            "fax_number": "214-351-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 MOSSROCK DRIVE",
            "address_2": "OFFICES 113, 122; MEETING ROOMS 3 & 4, ROOMS 103 & 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305131",
            "telephone_number": "512-440-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOUSES OF TEXAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "DUTTON",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "817-932-5050"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
            "identifier": "865-4902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "396608701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Houses of Texas, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phoenix Houses of Texas, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philotimo Counseling LLC
• Lara Phinney
• Lisa Michelle Phinney, MS CCC/SLP
• Febbie Mphatso Phiri
• Hoan Q Pho, MD
• Phoenix Mental Health TMS
• Phoenix Mental Health TMS PLLC
• Janae Kathleen Phoenix
• Kathy E Phoenix, LCSW
• Rodney Duane Phoenix, DDS, MS

• Substance Use Disorder Rehabilitation Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.