Phoenix Rising Counseling Center
Community/Behavioral Health in Dallas, GA. Organization (NPI-2).
NPI number1982171641
StatusActive
Last updated in NPPESOct 30, 2018
Details
- NPI
- 1982171641
- Entity type
- Organization (NPI-2)
- Legal business name
- Phoenix Rising Counseling Center
- Organization subpart
- No
- Enumeration date
- Oct 30, 2018
- Last updated
- Oct 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
110 Evans Mill Dr Ste 306Dallas, GA 30157-1623
Phone 770-574-6297 · Fax 770-445-7262
Mailing address
110 Evans Mill Dr Ste 306Dallas, GA 30157-1623
Phone 770-574-6297 · Fax 770-445-7262
Authorized official
Amber Catron
Lpc
7705746297
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