| Phoenix Rising Solutions, Llc | |
|
333 N Randall Rd Ste 21 St Charles IL 60174-1500 | |
| (630) 215-5226 | |
| (630) 318-3210 |
| Full Name | Phoenix Rising Solutions, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 333 N Randall Rd Ste 21, St Charles, Illinois |
| Authorized Official Name and Position | Hugo V. Negron (PRESIDENT/CO-OWNER) |
| Authorized Official Contact | 6302155226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Solutions, Llc 333 N Randall Rd Ste 21 St Charles IL 60174-1500 Ph: (630) 215-5226 | Phoenix Rising Solutions, Llc 333 N Randall Rd Ste 21 St Charles IL 60174-1500 Ph: (630) 215-5226 |
| NPI Number | 1982992756 |
|---|---|
| Provider Enumeration Date | 07/14/2011 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982992756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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