Phoenix Rising Mental Health, LLC

NPI #1073191995 in Madison, Wisconsin

Provider Information

NPI Number: 1073191995
Entity Type: Organization
Organization Name: Phoenix Rising Mental Health, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 31, 2021
Last Updated: Jul 2, 2021

Practice Location

Address: 2001 W BELTLINE HWY STE 105
City: Madison
State: Wisconsin
ZIP Code: 53713-2366
Phone: (608) 405-5125

Authorized Official

Name: SAMANTHA PIERCE
Title: OWNER
Phone: (608) 405-5125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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