NPIMap

Organization Active NPI

Phoenix Alighting Therapeutic Healing Services

  • Mental Illness Community Based Residential Treatment Facility
  • Towson, MD
National Provider Identifier
1720549645
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PHOENIX ALIGHTING THERAPEUTIC HEALING SERVICES
Practice address
100 E Pennsylvania Ave Ste 202
Towson, MD 21286
Phone
(443) 501-9362
NPI assigned
Mar 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Ms. Dionne Coleman, LCSW-CNPI 1285141762
Title
Owner
Phone
(443) 501-9362

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
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

100 E Pennsylvania Ave Ste 202
Towson, MD 21286

Mailing address

100 E Pennsylvania Ave Ste 202
Towson, MD 21286-0700
Phone (443) 501-9362

Other practice location 1

8 Howard St
Aberdeen, MD 21001-2413
Phone (443) 501-9362

Other practice location 2

8 Howard St
Aberdeen, MD 21001-2413
Phone (443) 501-9362

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Alighting Therapeutic Healing Services2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1720549645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E PENNSYLVANIA AVE STE 202",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212860700",
            "telephone_number": "443-501-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E PENNSYLVANIA AVE STE 202",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "443-501-9362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Howard St",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "MD",
            "postal_code": "210012413",
            "country_code": "US",
            "telephone_number": "443-501-9362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Howard St",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "MD",
            "postal_code": "210012413",
            "country_code": "US",
            "telephone_number": "443-501-9362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX ALIGHTING THERAPEUTIC HEALING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-501-9362",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.