Organization
PHOENIX GROUP MENTAL HEALTH SERVICES INC
Active
Organization
PHOENIX GROUP MENTAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN JEAN MARVIN LISW (PRESIDENT)
(515) 532-3338
Entity
Organization
Contact information
Practice address
103 2ND AVE NE, CLARION, IA 50525-1430
(515) 532-3338
(515) 532-3339
Mailing address
PO BOX 474, HUMBOLDT, IA 50548-0474
(515) 532-3338
(515) 532-3339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316932833
—
IA
Enumeration date
09/12/2005
Last updated
06/25/2015
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