| Phoenix Rising Counseling And Wellness Llc | |
|
1002 Lee St E # 11 Charleston WV 25301-1700 | |
| (304) 691-9379 | |
| Not Available |
| Full Name | Phoenix Rising Counseling And Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1002 Lee St E # 11, Charleston, West Virginia |
| Authorized Official Name and Position | Kimberly Sue Massie (OWNER/THERAPIST) |
| Authorized Official Contact | 3046919379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Counseling And Wellness Llc 1002 Lee St E # 11 Charleston WV 25301-1700 Ph: (304) 691-9379 | Phoenix Rising Counseling And Wellness Llc 1002 Lee St E # 11 Charleston WV 25301-1700 Ph: (304) 691-9379 |
| NPI Number | 1972441517 |
|---|---|
| Provider Enumeration Date | 03/24/2026 |
| Last Update Date | 06/12/2026 |
| Certification Date | 06/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972441517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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