PHOENIX RISING THERAPEUTIC SERVICES NPI 1205407079

NPI Information

NPI: 1205407079
Provider Name: PHOENIX RISING THERAPEUTIC SERVICES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
100 E PENNSYLVANIA AVE STE 204
TOWSON, MD
ZIP 21286
Phone: (410) 725-1188
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PHOENIX RISING THERAPEUTIC SERVICES is a mental health counselor in Towson, MD. PHOENIX RISING THERAPEUTIC SERVICES NPI is 1205407079. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 E PENNSYLVANIA AVE STE 204
TOWSON, MD
ZIP 21286-700
Phone: (410) 725-1188

The provider's authorized official is Dionne N Coleman .
The authorized official title is Clinical Director and has the following contact phone number (410) 725-1188.

The enumeration date for this NPI number is 7/2/2021 and was last updated on 7/2/2021.

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			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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