| Phoenix Rising Counseling L.l.c | |
|
2521 Woodlake Rd Sw Apt 4 Wyoming MI 49519-4712 | |
| (616) 970-4661 | |
| Not Available |
| Full Name | Phoenix Rising Counseling L.l.c |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2521 Woodlake Rd Sw Apt 4, Wyoming, Michigan |
| Authorized Official Name and Position | Kaymi Hargrove (LLMSW) |
| Authorized Official Contact | 6169704661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Counseling L.l.c 2521 Woodlake Rd Sw Apt 4 Wyoming MI 49519-4712 Ph: () - | Phoenix Rising Counseling L.l.c 2521 Woodlake Rd Sw Apt 4 Wyoming MI 49519-4712 Ph: (616) 970-4661 |
| NPI Number | 1144079518 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144079518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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