Phoenix Thriving, PLLC
Social Worker, Clinical in Austin, TX. Organization (NPI-2).
Details
- NPI
- 1295084101
- Entity type
- Organization (NPI-2)
- Legal business name
- Phoenix Thriving, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 6, 2012
- Last updated
- Sep 6, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 39631 | TX | Yes |
Practice location
3400 Kerbey LnAustin, TX 78703-1455
Phone 512-560-7294 · Fax 512-524-1412
Mailing address
3400 Kerbey LnBox 55
Austin, TX 78703-1455
Phone 512-560-7294 · Fax 512-524-1412
Authorized official
Heather L Davies
President And Manager
5125607294
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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