| Phoenix Rising Mental Health, Llc | |
|
2001 W Beltline Hwy Ste 105 Madison WI 53713-2366 | |
| (608) 405-5125 | |
| (608) 690-5266 |
| Full Name | Phoenix Rising Mental Health, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2001 W Beltline Hwy Ste 105, Madison, Wisconsin |
| Authorized Official Name and Position | Samantha Pierce (OWNER) |
| Authorized Official Contact | 6084055125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Mental Health, Llc 2001 W Beltline Hwy Ste 105 Madison WI 53713-2366 Ph: (608) 405-5125 | Phoenix Rising Mental Health, Llc 2001 W Beltline Hwy Ste 105 Madison WI 53713-2366 Ph: (608) 405-5125 |
| NPI Number | 1073191995 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 07/02/2021 |
| Certification Date | 07/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073191995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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