Organization
FENIX COLLECTIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA ANNE SUMMERS NCCPSS (CEO)
(704) 231-1079
Entity
Organization
Contact information
Practice address
5222 SPLIT OAK DR, CHARLOTTE, NC 28227-0327
(704) 231-1079
Mailing address
5222 SPLIT OAK DR, CHARLOTTE, NC 28227-0327
(704) 231-1079
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
175T00000X
Peer Specialist
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up