| Phoenix Rising Counseling Services | |
|
4732 Nw 22nd St Coconut Creek FL 33063-3877 | |
| (754) 223-6584 | |
| Not Available |
| Full Name | Phoenix Rising Counseling Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4732 Nw 22nd St, Coconut Creek, Florida |
| Authorized Official Name and Position | Dawn A Adams-meredith (OWNER) |
| Authorized Official Contact | 7542236584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Counseling Services 4732 Nw 22nd St Coconut Creek FL 33063-3877 Ph: (754) 223-6584 | Phoenix Rising Counseling Services 4732 Nw 22nd St Coconut Creek FL 33063-3877 Ph: (754) 223-6584 |
| NPI Number | 1013725134 |
|---|---|
| Provider Enumeration Date | 12/20/2024 |
| Last Update Date | 12/20/2024 |
| Certification Date | 12/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013725134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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