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RISING PHOENIX WELLNESS SERVICES NPI 1700374774


NPI Information

NPI: 1700374774
Provider Name: RISING PHOENIX WELLNESS SERVICES
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Organization

Specialization: Addiction Psychiatry

CLIA Number: 03D2146332

Address:
21803 N SCOTTSDALE RD
BUILDING A, #110
SCOTTSDALE, AZ
ZIP 85255
Phone: (480) 427-2290
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RISING PHOENIX WELLNESS SERVICES is an addiction psychiatry psychiatry neurology in Scottsdale, AZ. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. RISING PHOENIX WELLNESS SERVICES NPI is 1700374774. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21803 N SCOTTSDALE RD
BUILDING A, #110
SCOTTSDALE, AZ
ZIP 85255
Phone: (480) 427-2290
Fax: (480) 383-6808

The provider's authorized official is Erin Leigh Stanfield .
The authorized official title is Ceo and has the following contact phone number (480) 215-3089.

The CLIA number assigned to this NPI record is 03D2146332 - other - cdiop/mat with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2018 and was last updated on 8/11/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2175F00000XNaturopathNo
32084P0802XPsychiatry & NeurologyAddiction PsychiatryYes

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

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