Phoenix Rising Intervention Services INC

NPI #1134707854 in Troy, Missouri

Provider Information

NPI Number: 1134707854
Entity Type: Organization
Organization Name: Phoenix Rising Intervention Services INC
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 1, 2021
Last Updated: Apr 1, 2021

Practice Location

Address: 690 S LINCOLN DR
City: Troy
State: Missouri
ZIP Code: 63379-2808
Phone: (636) 295-6672

Authorized Official

Name: JOYCE LYNN DUBEA, M.ED, LPC
Title: CEO
Phone: (636) 295-6672

Specialties & Taxonomy Codes

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

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