| Phoenix Life Empowerment Foundation | |
|
177 Mac Ln Angier NC 27501-7904 | |
| (864) 360-7197 | |
| Not Available |
| Full Name | Phoenix Life Empowerment Foundation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 177 Mac Ln, Angier, North Carolina |
| Authorized Official Name and Position | Karla Elliott (PRESIDENT) |
| Authorized Official Contact | 8643607197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Life Empowerment Foundation 177 Mac Ln Angier NC 27501-7904 Ph: (864) 360-7197 | Phoenix Life Empowerment Foundation 177 Mac Ln Angier NC 27501-7904 Ph: (864) 360-7197 |
| NPI Number | 1952713398 |
|---|---|
| Provider Enumeration Date | 05/20/2014 |
| Last Update Date | 05/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952713398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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