| Phoenix Rising Therapy, Llc | |
|
15030 Zeolite St Nw Ramsey MN 55303-4301 | |
| (651) 274-9810 | |
| Not Available |
| Full Name | Phoenix Rising Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 15030 Zeolite St Nw, Ramsey, Minnesota |
| Authorized Official Name and Position | Jennifer Phoenix (OWNER) |
| Authorized Official Contact | 6512749810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Therapy, Llc 15030 Zeolite St Nw Ramsey MN 55303-4301 Ph: () - | Phoenix Rising Therapy, Llc 15030 Zeolite St Nw Ramsey MN 55303-4301 Ph: (651) 274-9810 |
| NPI Number | 1184511628 |
|---|---|
| Provider Enumeration Date | 06/18/2025 |
| Last Update Date | 06/18/2025 |
| Certification Date | 06/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184511628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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