| The Phoenix Rising, Llc | |
|
9301 Indian School Rd Ne Ste 101-e Albuquerque NM 87112-2884 | |
| (505) 261-8881 | |
| Not Available |
| Full Name | The Phoenix Rising, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9301 Indian School Rd Ne Ste 101-e, Albuquerque, New Mexico |
| Authorized Official Name and Position | Sabrina Montoya (OWNER) |
| Authorized Official Contact | 5052618881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Phoenix Rising, Llc 1617 Indiana St Ne Albuquerque NM 87110-6915 Ph: (505) 261-8881 | The Phoenix Rising, Llc 9301 Indian School Rd Ne Ste 101-e Albuquerque NM 87112-2884 Ph: (505) 261-8881 |
| NPI Number | 1356196299 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356196299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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