| Phoenix Rising Counseling And Consulting, Llc. | |
|
8609 Westwood Center Dr Ste 110 Tysons Corner VA 22182-7525 | |
| (571) 581-9299 | |
| Not Available |
| Full Name | Phoenix Rising Counseling And Consulting, Llc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8609 Westwood Center Dr Ste 110, Tysons Corner, Virginia |
| Authorized Official Name and Position | Kia Wilson (OWNER/FOUNDER) |
| Authorized Official Contact | 5715819299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Counseling And Consulting, Llc. 18039 Red Mulberry Rd Dumfries VA 22026-2967 Ph: (571) 241-7485 | Phoenix Rising Counseling And Consulting, Llc. 8609 Westwood Center Dr Ste 110 Tysons Corner VA 22182-7525 Ph: (571) 581-9299 |
| NPI Number | 1811588932 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811588932 | NPI | - | NPPES |
| 1699208165 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Temit Medical & Consulting Group Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8000 Westpark Dr Ste 140, Tysons Corner, VA 22102 Phone: 571-488-1274 Fax: 703-404-2703 |