| Organization Name: | PHEONIX MENTAL HEALTH SERVICES, LLC |
| NPI Number: | 1982043170 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROSEMARY A THOMPSON (CEO) |
| Mailing Address: | 810 Kempsville Rd Suite 6 Virginia Beach |
| State: | VA US |
| Postal Code: | 234642723 |
| Phone Number: | 7576192984 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2013 |
| NPI Last Update Date: | 06/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 0701001079 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |