| Phoenix Mental Health Counseling, Pllc | |
|
1607 Route 300 Ste 119 Newburgh NY 12550-1738 | |
| (845) 489-7999 | |
| Not Available |
| Full Name | Phoenix Mental Health Counseling, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1607 Route 300 Ste 119, Newburgh, New York |
| Authorized Official Name and Position | Tyler Jansen (OWNER) |
| Authorized Official Contact | 8454897999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Mental Health Counseling, Pllc 1607 Route 300 Ste 119 Newburgh NY 12550-1738 Ph: (845) 489-7999 | Phoenix Mental Health Counseling, Pllc 1607 Route 300 Ste 119 Newburgh NY 12550-1738 Ph: (845) 489-7999 |
| NPI Number | 1871371831 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871371831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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