NPIMap

Organization Active NPI

Phoenix Resource Center, Inc.

  • Community/Behavioral Health Agency
  • Carrollton, GA
National Provider Identifier
1861750911
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PHOENIX RESOURCE CENTER, INC.
Practice address
506 Tanner St
Carrollton, GA 30117-3304
Phone
(770) 834-0021
Fax
(678) 648-5594
NPI assigned
Apr 26, 2012
Last updated
Apr 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Elizabeth ReavesNPI 1811871981
Title
Chief Operating Officer
Phone
(770) 834-0021

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

506 Tanner St
Carrollton, GA 30117-3304

Mailing address

506 Tanner St
Carrollton, GA 30117-3304
Phone (770) 834-0021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1861750911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 TANNER ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173304",
            "telephone_number": "770-834-0021",
            "fax_number": "678-648-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 TANNER ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173304",
            "telephone_number": "770-834-0021",
            "fax_number": "678-648-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RESOURCE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "770-834-0021"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.