Unleashed Phoenix Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

UNLEASHED PHOENIX CORP

Practice address

11 E Superior St Ste 543
Duluth, MN 55802-2089

Phone

(218) 409-6576

NPI assigned

Jul 21, 2025

Last updated

Jul 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edna Ellison

Title

Executive Director

Phone

(623) 216-1237

Specialties & licenses 1

Addresses

Tax ID family

Unleashed Phoenix2 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.

• Unleashed Phoenix Corp

  dba Unleashed Phoenix

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1780280354
  NPD tax ID

Locations

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1841172087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E SUPERIOR ST STE 543",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022089",
            "telephone_number": "218-409-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E SUPERIOR ST STE 543",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022089",
            "telephone_number": "218-409-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLEASHED PHOENIX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "623-216-1237"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unite Counseling LLC
• Univ of MN Duluth Health Services
• Univ of MN Duluth Quick Care
• Univeristy of Minnesota Duluth (UMD Sports Medicine)
• University of Minnesota Medical School (Center for Rural Mental Health Studies)
• Brandy Lyn Unzen
• Patricia B Urbanski, MED, RD, LD,CNSD,CDE
• Rodolfo Edmundo Urias
• Brock Thomas Urie, MD
• Matthew Urmanski, DPT

• Community/Behavioral Health Agency in Duluth, MN
• Providers in Duluth, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.