| Blue Phoenix Counseling Llc | |
|
278 Virgo Ct Thousand Oaks CA 91360-2740 | |
| (216) 409-5820 | |
| Not Available |
| Full Name | Blue Phoenix Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 278 Virgo Ct, Thousand Oaks, California |
| Authorized Official Name and Position | Michelle Davis (PRACTICE OWNER) |
| Authorized Official Contact | 2164095820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Phoenix Counseling Llc 1534 N Moorpark Rd Ste 335 Thousand Oaks CA 91360-5129 Ph: () - | Blue Phoenix Counseling Llc 278 Virgo Ct Thousand Oaks CA 91360-2740 Ph: (216) 409-5820 |
| NPI Number | 1831089515 |
|---|---|
| Provider Enumeration Date | 07/07/2025 |
| Last Update Date | 07/07/2025 |
| Certification Date | 07/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831089515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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