| Phoenix Psychotherapy, Pllc | |
|
204 Muirs Chapel Rd Greensboro NC 27410-6173 | |
| (336) 645-5507 | |
| (336) 834-0442 |
| Full Name | Phoenix Psychotherapy, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 204 Muirs Chapel Rd, Greensboro, North Carolina |
| Authorized Official Name and Position | Ruby Lewis-dodd (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3366455507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Psychotherapy, Pllc 204 Muirs Chapel Rd Greensboro NC 27410-6173 Ph: (336) 645-5507 | Phoenix Psychotherapy, Pllc 204 Muirs Chapel Rd Greensboro NC 27410-6173 Ph: (336) 645-5507 |
| NPI Number | 1629461959 |
|---|---|
| Provider Enumeration Date | 03/11/2015 |
| Last Update Date | 03/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629461959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A11260 (North Carolina) | Primary |
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