| Pheonix Mental Health Services, Llc | |
|
810 Kempsville Rd Suite 6 Virginia Beach VA 23464-2723 | |
| (757) 619-2984 | |
| Not Available |
| Full Name | Pheonix Mental Health Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 810 Kempsville Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Rosemary A Thompson (CEO) |
| Authorized Official Contact | 7576192984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pheonix Mental Health Services, Llc 810 Kempsville Rd Suite 6 Virginia Beach VA 23464-2723 Ph: (757) 619-2984 | Pheonix Mental Health Services, Llc 810 Kempsville Rd Suite 6 Virginia Beach VA 23464-2723 Ph: (757) 619-2984 |
| NPI Number | 1982043170 |
|---|---|
| Provider Enumeration Date | 06/20/2013 |
| Last Update Date | 06/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982043170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 0701001079 (Virginia) | Primary |
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