| Phoenix Rising Therapy | |
|
8600 Us Highway 14 # 220c Crystal Lake IL 60012-2706 | |
| (847) 796-0544 | |
| Not Available |
| Full Name | Phoenix Rising Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8600 Us Highway 14 # 220c, Crystal Lake, Illinois |
| Authorized Official Name and Position | Kathryn Scarmardo (OWNER) |
| Authorized Official Contact | 8477960544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Therapy 8600 Us Highway 14 # 220c Crystal Lake IL 60012-2706 Ph: (847) 796-0544 | Phoenix Rising Therapy 8600 Us Highway 14 # 220c Crystal Lake IL 60012-2706 Ph: (847) 796-0544 |
| NPI Number | 1386471613 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386471613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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