OrganizationActive
Phoenix Treatment Centers Outpatient Division, LLC
NPI 1699551754 · Substance Use Disorder Rehabilitation Clinic/Center · Pikeville, KY
Provider details
- NPI number
- 1699551754
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Phoenix Treatment Centers, LLC
- Organization subpart
- Yes
- Authorized official
- Amber Sisco, Owner(606) 367-3980
Specialties & taxonomies
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 Venters Ln Ste 100
Pikeville, KY 41501-3016
Phone: (606) 653-1505
Street-level locationGet directions
Mailing address
Po Box 1285
Pikeville, KY 41502-1285
Registry dates
- Enumerated
- 2023-09-05
- Last updated
- 2024-03-23
- Certified
- 2024-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.