Provider Demographics
NPI:1245695071
Name:PHOENIX COUNSELING SERVICES, INC
Entity type:Organization
Organization Name:PHOENIX COUNSELING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:918-575-5899
Mailing Address - Street 1:RR 2 BOX 6745
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74965-9420
Mailing Address - Country:US
Mailing Address - Phone:918-723-3912
Mailing Address - Fax:
Practice Address - Street 1:RR 2 BOX 6745
Practice Address - Street 2:
Practice Address - City:WESTVILLE
Practice Address - State:OK
Practice Address - Zip Code:74965-9420
Practice Address - Country:US
Practice Address - Phone:918-723-3912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management