Phoenix Behavioral Services, Inc

Case Management Agency · Midlothian, IL

Organization Active NPI

NPI number 1679997266

Practice location

4649 147TH Street
Midlothian, IL 60445

Phone: (708) 926-2789
Fax: (708) 926-2797

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NPI record

NPI: 1679997266
Entity type: Organization (Type 2)
Enumeration date: February 18, 2014
Last updated: February 18, 2014
Organization subpart: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Case Management Agency Primary	`251B00000X`	A58510002A	IL

Authorized official

Name: James Golding, MSW, MHS, CAADC, MAC
Title: President and CEO
Phone: (708) 926-2789

About Phoenix Behavioral Services, Inc

Phoenix Behavioral Services, Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Case Management Agency (code 251B00000X). The practice location is 4649 147TH Street, Midlothian, IL 60445. The NPI number 1679997266 was assigned on February 18, 2014 and the record was last updated on February 18, 2014.

Phoenix Behavioral Services, Inc lists a license in the registry: #A58510002A (IL) for Case Management Agency. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is James Golding, MSW, MHS, CAADC, MAC, President and CEO.

Frequently asked questions

What is the NPI number of Phoenix Behavioral Services, Inc?

The NPI number is 1679997266.

What is the phone number of Phoenix Behavioral Services, Inc?

The phone number listed for the practice location is (708) 926-2789.

Where is Phoenix Behavioral Services, Inc located?

4649 147TH Street, Midlothian, IL 60445.

What is the taxonomy code for Phoenix Behavioral Services, Inc?

The primary taxonomy code is 251B00000X – Case Management Agency.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.