Organization · Type 2 NPI
Risen Phoenix LLC
Mental Health Counselor · Detroit, MI
NPI number
1922815422
Active
Practice location
15338 Virgil St
Detroit, MI 48223-1442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1922815422
Risen Phoenix LLC's National Provider Identifier is 1922815422, issued on Dec 17, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Dec 17, 2024.