Organization

Phoenix Rising Counseling Services, Llc

Community/Behavioral Health Agency in Covington, GA(View on Map)

Legal Business Name

Phoenix Rising Counseling Services, Llc

NPI Number

1083155667

NPI Type

Organization

Enumeration Date

03/15/2017

Specialties

(Taxonomies)

Code

251S00000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

CSW005912

Contact
Information

Purpose

Mailing
Location

Address

863 FLAT SHOALS RD SE
200 COLSER DR

City

Conyers
Covington

State

GA
GA

Postal Code

30094-6633
30016-0991

Country

US
US

Telephone Number

(678) 824-2010
(678) 824-2010

Authorized Official

Name

Mrs. Aundretta Wood

Title or Position

OWNER/THERAPIST

Telephone Number

(678) 824-2010

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

Data last updated by provider on 03/15/2017

Provider Address

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