| 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 | Clinic/center - Mental Health (including Community Mental Health Center) |
| 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 | 1700510781 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700510781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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