Provider Demographics
NPI:1487227948
Name:FENIXCARE COUNSELING SERVICES
Entity Type:Organization
Organization Name:FENIXCARE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MA
Authorized Official - Phone:484-769-7523
Mailing Address - Street 1:48 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19602-1047
Mailing Address - Country:US
Mailing Address - Phone:610-898-4392
Mailing Address - Fax:610-898-4389
Practice Address - Street 1:48 S 4TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-1047
Practice Address - Country:US
Practice Address - Phone:610-898-4392
Practice Address - Fax:610-898-4389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health