Organization · Type 2 NPI
Phoenixrisen Counseling
Adult Mental Health Clinic/Center · Eden Prairie, MN
NPI number
1124902960
Active
Practice location
6640 Shady Oak Rd Ste 451
Eden Prairie, MN 55344-7834
Mailing address
16315 Ice Circle Dr
Wayzata, MN 55391-2323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Another provider at this address
Other adult mental health clinic/center providers in Eden Prairie
About NPI 1124902960
Phoenixrisen Counseling's National Provider Identifier is 1124902960, issued on Aug 4, 2025. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Eden Prairie, MN. The record was last updated on Oct 2, 2025.