Organization

Phoenix Neuropsychology And Counseling Center

Clinical Psychologist in Jackson, TN(View on Map)

Legal Business Name

Phoenix Neuropsychology And Counseling Center

NPI Number

1891524930

NPI Type

Organization

Enumeration Date

07/29/2024

Specialties

(Taxonomies)

Code

103TC0700X
103G00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

382 CARRIAGE HOUSE DR STE D
382 CARRIAGE HOUSE DR STE D

City

Jackson
Jackson

State

TN
TN

Postal Code

38305-2299
38305-2299

Country

US
US

Telephone Number

(602) 391-0044
(602) 391-0044

Authorized Official

Name

Chantel Okewole

Title or Position

CEO

Telephone Number

(602) 391-0044

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2024

Provider Address

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