| Phoenix Counseling Center | |
|
631 Brawley School Rd Suite 200b Pmb 301 Mooresville NC 28117-6204 | |
| (704) 360-4531 | |
| (704) 360-2544 |
| Full Name | Phoenix Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 631 Brawley School Rd, Mooresville, North Carolina |
| Authorized Official Name and Position | Mary C Brannon (CREDENTIALING) |
| Authorized Official Contact | 7048842060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Counseling Center 917 1st St Shelby NC 28150-3958 Ph: (704) 476-4106 | Phoenix Counseling Center 631 Brawley School Rd Suite 200b Pmb 301 Mooresville NC 28117-6204 Ph: (704) 360-4531 |
| NPI Number | 1326451865 |
|---|---|
| Provider Enumeration Date | 06/03/2014 |
| Last Update Date | 06/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326451865 | NPI | - | NPPES |
| 2932A | Other | NC | NCSAPPB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2932A (North Carolina) | Primary |
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