| Phoenix Rising Counseling & Consulting | |
|
5900 Balcones Dr Ste 100 Austin TX 78731-4298 | |
| (414) 690-0672 | |
| Not Available |
| Full Name | Phoenix Rising Counseling & Consulting |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5900 Balcones Dr Ste 100, Austin, Texas |
| Authorized Official Name and Position | Tonyetta L Ross (DIRECTOR) |
| Authorized Official Contact | 4146900672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Counseling & Consulting 1711 W Clayton Crest Ave Milwaukee WI 53221-3830 Ph: (414) 690-0672 | Phoenix Rising Counseling & Consulting 5900 Balcones Dr Ste 100 Austin TX 78731-4298 Ph: (414) 690-0672 |
| NPI Number | 1619621091 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619621091 | NPI | - | NPPES |
| 12088599 | Other | WI | CAQH |
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