Amy'S Rising Phoenix Counseling, PLLC
Clinic/Center, Adult Mental Health in Greensboro, NC. Organization (NPI-2).
NPI number1245068907
StatusActive
Last updated in NPPESJul 24, 2024
Details
- NPI
- 1245068907
- Entity type
- Organization (NPI-2)
- Legal business name
- Amy'S Rising Phoenix Counseling, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2024
- Certification date
- Jul 24, 2024
- Last updated
- Jul 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
3225 Battleground Ave Ste 4Greensboro, NC 27408-2636
Phone 336-265-2720 · Fax 336-265-2721
Mailing address
2710 Chadbury DrGreensboro, NC 27407-6697
Phone 336-987-4449
Authorized official
Amy Leigh O'Hearn
Owner
3362652720
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