| Phoenix Rising Mental Health Group Llc | |
|
6551 W Stones Crossing Rd Greenwood IN 46143-9117 | |
| (317) 502-4516 | |
| Not Available |
| Full Name | Phoenix Rising Mental Health Group Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6551 W Stones Crossing Rd, Greenwood, Indiana |
| Authorized Official Name and Position | Nicole Stark (OWNER) |
| Authorized Official Contact | 3175024516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Mental Health Group Llc 6551 W Stones Crossing Rd Greenwood IN 46143-9117 Ph: (317) 502-4516 | Phoenix Rising Mental Health Group Llc 6551 W Stones Crossing Rd Greenwood IN 46143-9117 Ph: (317) 502-4516 |
| NPI Number | 1649130055 |
|---|---|
| Provider Enumeration Date | 11/17/2025 |
| Last Update Date | 11/17/2025 |
| Certification Date | 11/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649130055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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