| Phoenix Rising Counseling | |
|
28a Mashamoquet Rd Pomfret Center CT 06259-1813 | |
| (860) 792-6396 | |
| Not Available |
| Full Name | Phoenix Rising Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 28a Mashamoquet Rd, Pomfret Center, Connecticut |
| Authorized Official Name and Position | Esther Camerota-macneill (PROVIDER) |
| Authorized Official Contact | 8607926396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Counseling 116 Lake Shore Dr Pascoag RI 02859-3249 Ph: (401) 533-1710 | Phoenix Rising Counseling 28a Mashamoquet Rd Pomfret Center CT 06259-1813 Ph: (860) 792-6396 |
| NPI Number | 1366026874 |
|---|---|
| Provider Enumeration Date | 05/11/2021 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366026874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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