| Phoenix Rising Counseling, Llc | |
|
499 Gloster Creek Vlg Ste F6 Tupelo MS 38801-4631 | |
| (662) 296-1984 | |
| Not Available |
| Full Name | Phoenix Rising Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 499 Gloster Creek Vlg Ste F6, Tupelo, Mississippi |
| Authorized Official Name and Position | John Brandon Barnett (FOUNDER) |
| Authorized Official Contact | 6622961984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Counseling, Llc 4488 Union Ave Nettleton MS 38858-6038 Ph: (662) 296-1984 | Phoenix Rising Counseling, Llc 499 Gloster Creek Vlg Ste F6 Tupelo MS 38801-4631 Ph: (662) 296-1984 |
| NPI Number | 1467262485 |
|---|---|
| Provider Enumeration Date | 01/11/2025 |
| Last Update Date | 01/11/2025 |
| Certification Date | 01/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467262485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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