| Rising Phoenix Behavioral Services Llc | |
|
558 Camino Mercado Ste 111 Arroyo Grande CA 93420-1815 | |
| (805) 941-1025 | |
| (805) 941-1026 |
| Full Name | Rising Phoenix Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 558 Camino Mercado Ste 111, Arroyo Grande, California |
| Authorized Official Name and Position | Lauren Meredith Cook (OWNER) |
| Authorized Official Contact | 8059411025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Phoenix Behavioral Services Llc Po Box 331 Grover Beach CA 93483-0331 Ph: (805) 941-1025 | Rising Phoenix Behavioral Services Llc 558 Camino Mercado Ste 111 Arroyo Grande CA 93420-1815 Ph: (805) 941-1025 |
| NPI Number | 1518570555 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518570555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Ag Wellness Center Safe Haven Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Bridge St, Arroyo Grande, CA 93420 Phone: 805-489-9659 Fax: 805-540-6501 | |
Cultivate Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2570 Paul Place, Arroyo Grande, CA 93420 Phone: 408-569-7958 | |
Comm Mh Safe System Of Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1086 E Grand Ave, Arroyo Grande, CA 93420 Phone: 805-781-4700 | |
Anka Arroyo Grande Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2119 Lopez Dr, Arroyo Grande, CA 93420 Phone: 805-936-3081 Fax: 805-980-6100 | |
Slo County Drug & Alcohol Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 Grand Ave, Arroyo Grande, CA 93420 Phone: 805-473-7080 Fax: 805-473-7188 | |
Family Care Network, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 E Grand Ave Ste 221, Arroyo Grande, CA 93420 Phone: 805-781-3535 | |
Total Spectrum Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 E Branch St, Arroyo Grande, CA 93420 Phone: 424-265-8185 |