Organization
PHOENIX COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN PAUL OLIVER MA, MPA (EXECUTIVE DIRECTOR)
(704) 491-0829
Entity
Organization
Contact information
Practice address
510 S ASPEN ST, LINCOLNTON, NC 28092-2735
(704) 735-7719
(704) 921-3066
Mailing address
631 BRAWLEY SCHOOL RD, SUITE 200B, PMB 301, MOORESVILLE, NC 28117-6204
(704) 360-4531
(704) 360-2544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
NC
251S00000X
Community/Behavioral Health Agency
—
NC
Other
Enumeration date
02/14/2008
Last updated
03/17/2018
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