Individual provider · Type 1 NPI

Octavia Phoenix

Counselor · New Rochelle, NY

NPI number 1376218685 Active

Practice location

173 Huguenot St Ste 200
New Rochelle, NY 10801-7710

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1376218685

Octavia Phoenix's National Provider Identifier is 1376218685, issued on Aug 10, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in New Rochelle, NY. The record was last updated on Oct 24, 2026.