Organization · Type 2 NPI
Phoenix Project LLC
Addiction (Substance Use Disorder) Counselor · Cave City, KY
NPI number
1023797461
Active
Practice location
415 N Dixie Hwy
Cave City, KY 42127-9517
Mailing address
735 Levi Beams Rd
Magnolia, KY 42757-7909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Peer Specialist | 175T00000X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1023797461
Phoenix Project LLC's National Provider Identifier is 1023797461, issued on Jul 13, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cave City, KY. The record was last updated on Apr 28, 2024.