Phoenix-N-Peace Acr, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PHOENIX-N-PEACE ACR, INC.

Practice address

3297 S Crater Rd Ste C
Petersburg, VA 23805-9384

Phone

(804) 862-8810

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Marilyn Coleman Newby

Title

Executive Director

Phone

(804) 677-9570

Specialties & licenses 1

Addresses

Tax ID family

Phoenix-N-Peace Acr Inc2 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.

• Phoenix N Peace LLC

  • Private Vehicle
  • Petersburg, VA
  • NPI 1245750488
  NPD tax ID

Locations

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1861171795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3297 S CRATER RD STE C",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059384",
            "telephone_number": "804-862-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3297 S CRATER RD STE C",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059384",
            "telephone_number": "804-862-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX-N-PEACE ACR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "COLEMAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-677-9570"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather M Pettis, M.D.
• Latisha Renee Petty
• Justin Andrew Phillingane, D.P.M.
• Sarah Neal Phillips
• Phoenix N Peace LLC
• Phoenixmides LLC
• Physician Associates LTD
• Chitra Pidaparti, PH.D.
• Joshua Paul Pidcoe
• Teisha N. Pink-Gonzalez

• Community/Behavioral Health Agency in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.