| Phoenix Rising J2r Llc | |
|
320 South St Apt 10l Morristown NJ 07960-6060 | |
| (973) 727-2402 | |
| Not Available |
| Full Name | Phoenix Rising J2r Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 320 South St Apt 10l, Morristown, New Jersey |
| Authorized Official Name and Position | Rima Patel (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9737272402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising J2r Llc 320 South St Apt 10l Morristown NJ 07960-6060 Ph: (973) 727-2402 | Phoenix Rising J2r Llc 320 South St Apt 10l Morristown NJ 07960-6060 Ph: (973) 727-2402 |
| NPI Number | 1003791880 |
|---|---|
| Provider Enumeration Date | 08/09/2025 |
| Last Update Date | 08/09/2025 |
| Certification Date | 08/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003791880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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