| Phoenix Rising Counseling And Life Coaching Services | |
|
35 E Elizabeth Ave Ste 6 Bethlehem PA 18018-6505 | |
| (610) 442-7186 | |
| Not Available |
| Full Name | Phoenix Rising Counseling And Life Coaching Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 35 E Elizabeth Ave Ste 6, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Simone Cidnee Allison Phillips (PRACTICE OWNER/CEO) |
| Authorized Official Contact | 4848955915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Counseling And Life Coaching Services 35 E Elizabeth Ave Ste 6 Bethlehem PA 18018-6505 Ph: (610) 442-7186 | Phoenix Rising Counseling And Life Coaching Services 35 E Elizabeth Ave Ste 6 Bethlehem PA 18018-6505 Ph: (610) 442-7186 |
| NPI Number | 1144860727 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 06/26/2020 |
| Certification Date | 06/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144860727 | NPI | - | NPPES |
| 1144860727 | Other | PA | NOT APPLICABLE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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