Phoenix Risings Counseling Center LLC
NPI #1417479056 in Irvington, New Jersey
Provider Information
- NPI Number
- 1417479056
- Entity Type
- Organization
- Organization Name
- Phoenix Risings Counseling Center LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 14, 2017
- Last Updated
- Aug 21, 2017
Practice Location
- Address
- 50 UNION AVE STE 804B
- City
- Irvington
- State
- New Jersey
- ZIP Code
- 07111-5221
- Phone
- (770) 568-0619
Authorized Official
- Name
- LYNNE CHANTEL HOLLEY, LCSW LCADC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (973) 393-0312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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