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Search › Alabama › 103K00000X

Phoenix De La Pena

NPI 1396654216 · on the registry since 2026

Practice

Address
326 Sutton Rd Se
Owens Cross Roads, AL 35763
Phone
(205) 886-1901
Organisation at this address
Glass Pt & Performance
Tucker Enrichment Academy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama