Phoenix Counseling Services

LBN: Phoenix Counseling Services
Phoenix Counseling Services is an health care organization with primary practice located at 8609 Sudley Rd Suite 201, Manassas VA 20110-8321. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Phoenix Counseling Services can be contacted via phone (703) 577-1492, or through Stark, Roselle via phone (703) 577-1492.

Contact Information

Primary practice address
8609 Sudley Rd Suite 201 Manassas VA 20110-8321
Phone: (703) 577-1492
Fax: (703) 530-8801
Website:
Map and Directions
Authorized official contact:
Name: Stark, Roselle Clinical Nurse Specialist (CNS)
Phone: (703) 577-1492

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0015000582 Virginia

Profile Details

NPI number 1982963328
LBN Legal business name Phoenix Counseling Services
DBA Doing business as
Authorized official Stark, Roselle Clinical Nurse Specialist (CNS)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2012
Last updated Apr 12th, 2016 - about 10 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1982963328 NPPES
Virginia MEDICAID 010345308

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