PHOENIX RISING PROFESSIONAL COUNSELING PC NPI 1447577101

NPI Information

  • NPI: 1447577101
  • Provider Name: PHOENIX RISING PROFESSIONAL COUNSELING, PC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 302 WEST MICHIGAN AVENUE
    PAW PAW, MI
    ZIP 49079
  • Phone: (269) 998-9696

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NPI Details

PHOENIX RISING PROFESSIONAL COUNSELING, PC is a professional counselor in Paw Paw, MI. PHOENIX RISING PROFESSIONAL COUNSELING, PC NPI is 1447577101. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

302 WEST MICHIGAN AVENUE
PAW PAW, MI
ZIP 49079-026
Phone: (269) 998-9696
Fax: (269) 415-0284

The provider's authorized official is Todd Christopher Day .
The authorized official title is Director and has the following contact phone number (269) 998-9696.

The enumeration date for this NPI number is 4/21/2010 and was last updated on 4/21/2010.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)6401010792MICHIGANNo
2101YP2500XCounselorProfessional6401010792MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11700049061OTHERMICHIGANNPI NUMBER

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: 11/21/2025

NPI Synchronization or Removal

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