| Phoenix Rising Counseling And Psychotherapy Llc | |
|
5808 S Rapp St Ste 120 Littleton CO 80120-1900 | |
| (720) 988-5620 | |
| Not Available |
| Full Name | Phoenix Rising Counseling And Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5808 S Rapp St, Littleton, Colorado |
| Authorized Official Name and Position | Elena Patricia Davis (SOLE MEMBER) |
| Authorized Official Contact | 7209885620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Counseling And Psychotherapy Llc 5808 S Rapp St Ste 120 Littleton CO 80120-1900 Ph: (720) 988-5620 | Phoenix Rising Counseling And Psychotherapy Llc 5808 S Rapp St Ste 120 Littleton CO 80120-1900 Ph: (720) 988-5620 |
| NPI Number | 1336520352 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 08/17/2016 |
| Medicare PECOS PAC ID | 1759681240 |
|---|---|
| Medicare Enrollment ID | O20151207001013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336520352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW.00000140 (Colorado) | Primary |
| Provider Name | Elena P Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780714543 PECOS PAC ID: 2264598556 Enrollment ID: I20090312000160 |
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