Fenix Collective Inc

LBN: Fenix Collective Inc
Fenix Collective Inc is an health care organization with primary practice located at 5222 Split Oak Dr , Charlotte NC 28227-0327. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Other Service Providers / Peer Specialist is the primary health care specialty. Fenix Collective Inc can be contacted via phone (704) 231-1079, or through Summers, Jessica Anne via phone (704) 231-1079.

Contact Information

Primary practice address
5222 Split Oak Dr Charlotte NC 28227-0327
Phone: (704) 231-1079
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Summers, Jessica Anne NCCPSS
Phone: (704) 231-1079

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1306694278
LBN Legal business name Fenix Collective Inc
DBA Doing business as
Authorized official Summers, Jessica Anne NCCPSS
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2024
Last updated May 7th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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