Organization · NPI-2

Phoenix Counseling, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Spencer, IA

NPI number1992445977
StatusActive
Last updated in NPPESApr 21, 2026

Details

NPI
1992445977
Entity type
Organization (NPI-2)
Legal business name
Phoenix Counseling, LLC
Organization subpart
No
Enumeration date
Mar 29, 2022
Certification date
Apr 21, 2026
Last updated
Apr 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

20 W 6th St Ste 305
Spencer, IA 51301-3906

Phone 605-741-4047

Mailing address

20 W 6th St Ste 305
Spencer, IA 51301-3906

Phone 605-741-4047

Authorized official

Emily Lake
Mental Health Counselor
6057414047

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