Phoenix Rose Marriage and Family Therapy Pllc

NPI #1275154627 in Roosevelt, New York

Provider Information

NPI Number: 1275154627
Entity Type: Organization
Organization Name: Phoenix Rose Marriage and Family Therapy Pllc
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Apr 27, 2020
Last Updated: Apr 27, 2020

Practice Location

Address: 26 MARGARET DR
City: Roosevelt
State: New York
ZIP Code: 11575-1535
Phone: (516) 757-3598

Authorized Official

Name: BREANA D JOHNSON, LMFT
Title: OWNER
Phone: (516) 757-3598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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