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The Phoenix House LLC

Substance Use Disorder Rehabilitation Clinic/Center in Middlesboro, KY · enumerated 2026 · authorized official Misty Panther, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194660936

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Registry record

Entity type Organization (Type 2)
Legal business name The Phoenix House LLC
Practice address 106 Chasteen Dr, Middlesboro, KY, 40965
Enumeration date Apr 20, 2026
Last updated in NPPES Apr 20, 2026

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Misty Panther
Title Executive Director

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for The Phoenix House LLC?
The NPI for The Phoenix House LLC is 1194660936, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for The Phoenix House LLC?
NPPES lists Misty Panther (Executive Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-20.