| Phoenix Mental Health, Llc | |
|
2130 Clinton St Buffalo NY 14206-3356 | |
| (716) 380-2129 | |
| Not Available |
| Full Name | Phoenix Mental Health, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2130 Clinton St, Buffalo, New York |
| Authorized Official Name and Position | Caitlyn Beilman (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 7163802129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Mental Health, Llc 1540 Center Rd West Seneca NY 14224-3286 Ph: (716) 380-2129 | Phoenix Mental Health, Llc 2130 Clinton St Buffalo NY 14206-3356 Ph: (716) 380-2129 |
| NPI Number | 1043946569 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043946569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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