| Ascension Of The Phoenix Counseling | |
|
1453 Big Hill Rd Pennington Gap VA 24277-8133 | |
| (276) 870-2197 | |
| Not Available |
| Full Name | Ascension Of The Phoenix Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1453 Big Hill Rd, Pennington Gap, Virginia |
| Authorized Official Name and Position | Amanda Leigh Graham (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 8883223492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Of The Phoenix Counseling Po Box 152 Pennington Gap VA 24277-0152 Ph: () - | Ascension Of The Phoenix Counseling 1453 Big Hill Rd Pennington Gap VA 24277-8133 Ph: (276) 870-2197 |
| NPI Number | 1912773409 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912773409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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