RISING PHOENIX COUNSELING LLC NPI 1588390967

NPI Information

  • NPI: 1588390967
  • Provider Name: RISING PHOENIX COUNSELING LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 377 VALLEY RD # 1250
    CLIFTON, NJ
    ZIP 07013
  • Phone: (917) 994-0287

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NPI Details

RISING PHOENIX COUNSELING LLC is an adult mental health clinic center in Clifton, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. RISING PHOENIX COUNSELING LLC NPI is 1588390967. The provider is registered as an organization entity type.

The provider's business location address is:

377 VALLEY RD # 1250
CLIFTON, NJ
ZIP 07013-319
Phone: (917) 994-0287

The provider's authorized official is Desiree A Linton-dudley .
The authorized official title is Mental Health Clinician/director and has the following contact phone number (179) 940-2879.

The enumeration date for this NPI number is 7/27/2022 and was last updated on 7/27/2022.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

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This page was last updated on: 11/21/2025

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