Phoenix Life Empowerment Foundation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PHOENIX LIFE EMPOWERMENT FOUNDATION

Practice address

177 Mac LN
Angier, NC 27501-7904

Phone

(864) 360-7197

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Karla Elliott

Title

President

Phone

(864) 360-7197

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1952713398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 MAC LN",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275017904",
            "telephone_number": "864-360-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MAC LN",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275017904",
            "telephone_number": "864-360-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX LIFE EMPOWERMENT FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-360-7197"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venu Patel, DMD
• Nikita Peoples, RN
• Lourdes Amparo Pereda, MD
• David Alan Peterson, MD
• Phlebotomy Training Institute & Resource
• Primrose Villa
• Primrose Villa
• Primrose Villa
• Primrose Villa
• Chanel Afia Prince, DDS

• Psychiatry Physician in Angier, NC
• Providers in Angier, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.