# PHOENIX TRAINING INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265885610
- **Authorized official:** LARUE CARRIGAN-HOUSER MHS,CADC,LPC,CCJP (DIRECTOR)
- **Authorized official phone:** (610) 737-0499

## Contact information

- **Practice address:** 1147 W LIBERTY ST, ALLENTOWN, PA 18102-2738
- **Practice address phone:** (610) 737-0499
- **Mailing address:** 1147 W LIBERTY ST, ALLENTOWN, PA 18102-2738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 397049 | PA | Yes |

## Other

- **Enumeration date:** 07/21/2016
- **Last updated:** 07/21/2016