Organization
PHOENIX HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
101 KING ST, HAGERSTOWN, MD 21740-5732
(301) 447-2361
(301) 447-3673
Mailing address
101 KING ST, HAGERSTOWN, MD 21740-5732
(301) 447-2361
(301) 447-3673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MD
101YM0800X
Mental Health Counselor
—
MD
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
MD
1041C0700X
Clinical Social Worker
—
MD
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
MD
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
MD
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
MD
2084P0800X
Psychiatry Physician
—
MD
2084P0802X
Addiction Psychiatry Physician
—
MD
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
MD
261QM0850X
Adult Mental Health Clinic/Center
—
MD
261QM2800X
Methadone Clinic
Primary
—
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
01/06/2011
Last updated
12/23/2024
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