Organization · Type 2 NPI

Rising Phoenix Health and Wellness Empowerment Center, LLC

Community/Behavioral Health Agency · Conyers, GA

NPI number 1194411496 Active

Practice location

2395 Wall St SE Ste 170
Conyers, GA 30013-6703

Mailing address

1543 Lilburn Stone Mountain Rd
Stone Mountain, GA 30087-1851

Other practice locations

  • 1543 Lilburn Stone Mountain Rd, Stone Mountain, GA 30087-1851 · (404) 200-7754

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1194411496

Rising Phoenix Health and Wellness Empowerment Center, LLC's National Provider Identifier is 1194411496, issued on Apr 11, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Conyers, GA. The record was last updated on Sep 5, 2025.