Provider Demographics
NPI:1013492602
Name:PHOENIX SOLUTIONS INC.
Entity type:Organization
Organization Name:PHOENIX SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:STERRETT
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT;LMAC;AMCII
Authorized Official - Phone:785-338-0307
Mailing Address - Street 1:3601 SW 29TH ST STE 112B
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-2015
Mailing Address - Country:US
Mailing Address - Phone:785-338-0307
Mailing Address - Fax:785-246-8216
Practice Address - Street 1:3601 SW 29TH ST STE 112B
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-2015
Practice Address - Country:US
Practice Address - Phone:785-338-0307
Practice Address - Fax:785-246-8216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty