Phoenix Treatment Centers, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PHOENIX TREATMENT CENTERS, LLC

Practice address

400 Venters LN Ste 400
Pikeville, KY 41501-3016

Phone

(606) 658-3078

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Amber Sisco

Title

Owner

Phone

(606) 653-1505

Specialties & licenses 1

Addresses

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.

• Phoenix Treatment Centers Outpatient Division, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pikeville, KY
  • NPI 1699551754
  NPPES parent name

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1770264749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1285",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415021285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VENTERS LN STE 400",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013016",
            "telephone_number": "606-658-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX TREATMENT CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "SISCO",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-653-1505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Al Pelphrey, D.M.D.
• Sandra Perry, CRNA
• Nikki Petterson
• Caitlin McKenzie Phillips, RBT
• Phoenix Treatment Centers Outpatient Division, LLC
• Physical Therapy Clinic PSC (Pike County Physical Therapy Clinic, PSC)
• Physicians for Children & Adolescents PSC
• Physicians for Children & Adolescents PSC (Physicians For Children)
• Alondra Pichardo
• Pike County Board of Education

• Substance Abuse Rehabilitation Facility in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Substance Abuse Rehabilitation Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.