Phoenix-Restoration Facilities, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

PHOENIX-RESTORATION FACILITIES, INC.

Practice address

5118 Stage Rd
Memphis, TN 38134-3166

Phone

(901) 377-6640

Fax

(901) 377-2450

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Mr. C Eric Lincoln

Title

Chairman

Phone

(901) 377-6640

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1962658377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 STAGE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343166",
            "telephone_number": "901-377-6640",
            "fax_number": "901-377-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 STAGE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343166",
            "telephone_number": "901-377-6640",
            "fax_number": "901-377-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX-RESTORATION FACILITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "901-377-6640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.