| Phoenix Mental Health Counseling Services | |
|
7024 Summers Trace Ter Chesterfield VA 23832-8472 | |
| (301) 906-3654 | |
| Not Available |
| Full Name | Phoenix Mental Health Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7024 Summers Trace Ter, Chesterfield, Virginia |
| Authorized Official Name and Position | Malaika Lillard (OWNER) |
| Authorized Official Contact | 3019063654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Mental Health Counseling Services 7024 Summers Trace Ter Chesterfield VA 23832-8472 Ph: (301) 906-3654 | Phoenix Mental Health Counseling Services 7024 Summers Trace Ter Chesterfield VA 23832-8472 Ph: (301) 906-3654 |
| NPI Number | 1669192688 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669192688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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