Organization · Type 2 NPI

Phoenix Community Support Services LLC

Community/Behavioral Health Agency · Birmingham, AL

NPI number 1740893346 Active

Practice location

4111 Avenue L
Birmingham, AL 35208-1807

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

4 other providers at this address

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NPI record

NPI: 1740893346
Entity type: Organization (Type 2)
Issued: Aug 25, 2020
Last updated: Dec 7, 2020
Status: Active
Subpart: Yes of Phoenix Community Support Services LLC

Other names

Phoenix Community Support Services LLC · other name

Authorized official

Lashunda Smith-Pope
Owner/ceo
(205) 346-3123

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1740893346

Phoenix Community Support Services LLC's National Provider Identifier is 1740893346, issued on Aug 25, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Birmingham, AL. The record was last updated on Dec 7, 2020.