| Phoenix Rising Counseling Services, Llc | |
|
200 Colser Dr Covington GA 30016-0991 | |
| (678) 824-2010 | |
| (888) 705-0482 |
| Full Name | Phoenix Rising Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 Colser Dr, Covington, Georgia |
| Authorized Official Name and Position | Aundretta Mykel Wood (OWNER/THERAPIST) |
| Authorized Official Contact | 6788242010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Counseling Services, Llc 863 Flat Shoals Rd Se Suite C #149 Conyers GA 30094-6633 Ph: (678) 824-2010 | Phoenix Rising Counseling Services, Llc 200 Colser Dr Covington GA 30016-0991 Ph: (678) 824-2010 |
| NPI Number | 1083155667 |
|---|---|
| Provider Enumeration Date | 03/15/2017 |
| Last Update Date | 03/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083155667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW005912 (Georgia) | Primary |
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