| Phoenix Ascension Counseling Llc | |
|
635 W Highway 50 O Fallon IL 62269-1941 | |
| (618) 575-0020 | |
| Not Available |
| Full Name | Phoenix Ascension Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 635 W Highway 50, O Fallon, Illinois |
| Authorized Official Name and Position | Candyce Bell (OWNER) |
| Authorized Official Contact | 8473401922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Ascension Counseling Llc 1523 Picketts Ct O Fallon IL 62269-6665 Ph: () - | Phoenix Ascension Counseling Llc 635 W Highway 50 O Fallon IL 62269-1941 Ph: (618) 575-0020 |
| NPI Number | 1912611245 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 03/31/2025 |
| Certification Date | 03/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912611245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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