NPI age
17 years
Enumerated 2008-11-14
● Active Type 2 · Organization
Phoenix Center Behavioral Health Services
Phoenix Center Behavioral Health Services is 1 of 101 community based residential treatment facility, mental illness organizations in Georgia.
Primary specialty
Community Based Residential Treatment Facility, Mental Illness
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dean
LPN
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 101 active community based residential treatment facility, mental illness providers in Georgia.
NPI age
17 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-11Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
940 Highway 96 Ste A
Warner Robins, GA 310882587
Mailing address
940 Highway 96 Ste A
Warner Robins, GA 310882587
Authorized official
Shontaon Michelle Dean
LPN
📞 4789881222
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Gerald Hicks, LPN Licensed Practical Nurse NPI 1235443169
- Tracy Marshall, LPN Licensed Practical Nurse NPI 1538313101
Specialties
-
Community Based Residential Treatment Facility, Mental Illness PrimaryA home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 58215225 |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.