Provider Demographics
NPI:1912011974
Name:PHOENIX SUN THERAPEUTIC SOLUTIONS
Entity Type:Organization
Organization Name:PHOENIX SUN THERAPEUTIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:EURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-662-8185
Mailing Address - Street 1:2100 W CORNWALLIS DR STE M
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7015
Mailing Address - Country:US
Mailing Address - Phone:336-545-6890
Mailing Address - Fax:336-545-6892
Practice Address - Street 1:2100 W CORNWALLIS DR STE M
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7015
Practice Address - Country:US
Practice Address - Phone:336-545-6890
Practice Address - Fax:336-545-6892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty