| Phoenix Rising Psychotherapy Center Pllc | |
|
816 W Canal St S Belle Glade FL 33430-2942 | |
| (561) 502-1500 | |
| Not Available |
| Full Name | Phoenix Rising Psychotherapy Center Pllc |
|---|---|
| Speciality | Clinic/center - Developmental Disabilities |
| Location | 816 W Canal St S, Belle Glade, Florida |
| Authorized Official Name and Position | Raquel Lumia (OWNER) |
| Authorized Official Contact | 5615021500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Psychotherapy Center Pllc 4060 Royal Palm Beach Blvd West Palm Beach FL 33411-9165 Ph: (561) 502-1500 | Phoenix Rising Psychotherapy Center Pllc 816 W Canal St S Belle Glade FL 33430-2942 Ph: (561) 502-1500 |
| NPI Number | 1760029623 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 06/11/2020 |
| Certification Date | 06/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760029623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Primary |
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