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RISING PHOENIX COUNSELING SERVICES LLC NPI 1164952164


NPI Information

NPI: 1164952164
Provider Name: RISING PHOENIX COUNSELING SERVICES, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
233 NE B ST STE 201
GRANTS PASS, OR
ZIP 97526
Phone: (541) 500-7111
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RISING PHOENIX COUNSELING SERVICES, LLC is a mental health counselor in Grants Pass, OR. RISING PHOENIX COUNSELING SERVICES, LLC NPI is 1164952164. The provider is registered as an organization entity type.

The provider's business location address is:

233 NE B ST STE 201
GRANTS PASS, OR
ZIP 97526-108
Phone: (541) 500-7111
Fax: (541) 507-9118

The provider's authorized official is Sarah May Eilertson .
The authorized official title is Owner/counselor/clinical Director and has the following contact phone number (541) 500-7111.

The enumeration date for this NPI number is 6/13/2017 and was last updated on 7/11/2019.


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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3133V00000XDietitian, RegisteredNo
4101YM0800XCounselorMental HealthYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.