Organization
THE PHOENIX RECOVERY CENTER LLC
Active
Parent organization
THE PHOENIX RECOVERY CENTER, LLC
Other names
The Phoenix Counseling Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PHOENIX RECOVERY CENTER, LLC
Authorized official
KRISTIN TIMMONS (EXECUTIVE DIRECTOR)
(801) 438-3185
Entity
Organization
Contact information
Practice address
489 W. SOUTH JORDAN PARKWAY, STE 400, SOUTH JORDAN, UT 84095
(801) 438-3185
(801) 438-3184
Mailing address
9980 S 300 W STE 105, SANDY, UT 84070-3641
(801) 438-3185
(801) 438-3184
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5549
UT
101YA0400X
Addiction (Substance Use Disorder) Counselor
5549
UT
101YM0800X
Mental Health Counselor
5549
UT
101YP2500X
Professional Counselor
5549
UT
103K00000X
Behavior Analyst
5549
UT
261QM0850X
Adult Mental Health Clinic/Center
5549
UT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
5549
UT
Other
Enumeration date
04/22/2014
Last updated
04/05/2021
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