| Rising Phoenix Counseling, Llc | |
|
366 E Graves Ave Ste D Orange City FL 32763-5266 | |
| (407) 777-2596 | |
| Not Available |
| Full Name | Rising Phoenix Counseling, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 366 E Graves Ave Ste D, Orange City, Florida |
| Authorized Official Name and Position | David Allen Martin (OWNER) |
| Authorized Official Contact | 3868372362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Phoenix Counseling, Llc 130 Sunrise Blvd Debary FL 32713-3849 Ph: (386) 837-2362 | Rising Phoenix Counseling, Llc 366 E Graves Ave Ste D Orange City FL 32763-5266 Ph: (407) 777-2596 |
| NPI Number | 1093277048 |
|---|---|
| Provider Enumeration Date | 04/01/2019 |
| Last Update Date | 04/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093277048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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