# PHOENIX COUNSELING CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHOENIX COUNSELING CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831377563
- **Legal business name:** PHOENIX COUNSELING CENTER
- **Authorized official:** MR. KEVIN PAUL OLIVER MA, MPA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (704) 921-3070

## Contact information

- **Practice address:** 804 N LAFAYETTE ST STE 2, SHELBY, NC 28150-3898
- **Practice address phone:** (704) 476-4106
- **Mailing address:** 839 MAJESTIC CT STE 1, GASTONIA, NC 28054-5152
- **Mailing address phone:** (704) 396-6747
- **Mailing address fax:** (704) 854-4860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NC | Yes |
| 101YM0800X | Mental Health Counselor | — | NC | — |
| 251B00000X | Case Management Agency | — | NC | — |
| 251S00000X | Community/Behavioral Health Agency | — | NC | — |

## Other

- **Enumeration date:** 02/05/2008
- **Last updated:** 07/21/2022