PHOENIX PROFESSIONAL ADVISORS LLC NPI 1437635661

NPI Information

NPI: 1437635661
Provider Name: PHOENIX PROFESSIONAL ADVISORS LLC

Doing Business As: KRATOS COUNSELING

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
10022 WATER WORKS LN
RIVERVIEW, FL
ZIP 33578
Phone: (866) 933-0999
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PHOENIX PROFESSIONAL ADVISORS LLC is a mental health counselor in Riverview, FL. PHOENIX PROFESSIONAL ADVISORS LLC NPI is 1437635661. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kratos Counseling.

The provider's business location address is:

10022 WATER WORKS LN
RIVERVIEW, FL
ZIP 33578-301
Phone: (866) 933-0999

The provider's authorized official is Samantha Waters .
The authorized official title is Senior Therapist and has the following contact phone number (866) 933-0999.

The enumeration date for this NPI number is 7/11/2018 and was last updated on 12/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	IMH14504	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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