| Phoenix Counseling Center Llc | |
|
33480 Liberty Pkwy North Ridgeville OH 44039-2670 | |
| (440) 732-5252 | |
| (440) 271-2003 |
| Full Name | Phoenix Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 33480 Liberty Pkwy, North Ridgeville, Ohio |
| Authorized Official Name and Position | Shaina Duffy (OWNER) |
| Authorized Official Contact | 4407325252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Counseling Center Llc 33480 Liberty Pkwy North Ridgeville OH 44039-2670 Ph: (440) 732-5252 | Phoenix Counseling Center Llc 33480 Liberty Pkwy North Ridgeville OH 44039-2670 Ph: (440) 732-5252 |
| NPI Number | 1992426050 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 09/07/2022 |
| Certification Date | 09/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992426050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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Phoenix Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33480 Liberty Pkwy, North Ridgeville, OH 44039 Phone: 440-732-5252 Fax: 440-271-2003 | |
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