| Phoenix Counseling Collaborative LLC | |
|
306 N White St Dobson NC 27017-8938 | |
| (336) 443-4076 | |
| (336) 443-4126 |
| Full Name | Phoenix Counseling Collaborative LLC |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 306 N White St, Dobson, North Carolina |
| Authorized Official Name and Position | Monica Nichols-armstrong (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3364147794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Counseling Collaborative LLC Po Box 823 Dobson NC 27017-0823 Ph: (336) 443-4076 | Phoenix Counseling Collaborative LLC 306 N White St Dobson NC 27017-8938 Ph: (336) 443-4076 |
| NPI Number | 1124754122 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124754122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Primary |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
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