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Phoenix House, Inc

Emotionally Disturbed Childrens' Residential Treatment Facility in Waxhaw, NC · enumerated 2006 · authorized official Leslie Taylor, Director.

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

National Provider Identifier

1942394101

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Registry record

Entity type Organization (Type 2)
Legal business name Phoenix House, Inc
Practice address 8916 Woodhall Lake Dr, Waxhaw, NC, 28173
Phone (704) 536-7931
Enumeration date Oct 3, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License 322D00000X (NC) Primary

Authorized official

Name Leslie Taylor
Title Director
Phone (704) 536-7931

Other identifiers

Identifier Type State Issuer
6603417 Medicaid NC -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Phoenix House, Inc located?
The practice location on file with NPPES is in Waxhaw, NC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.