| Phoenix Therapeutics, Pllc | |
|
915 Vandora Springs Rd Garner NC 27529-3543 | |
| (919) 996-0707 | |
| Not Available |
| Full Name | Phoenix Therapeutics, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 915 Vandora Springs Rd, Garner, North Carolina |
| Authorized Official Name and Position | Jarrett Christian Blaize (OWNER) |
| Authorized Official Contact | 9199960707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Therapeutics, Pllc 127 W Hargett St Ste 301 Raleigh NC 27601-1351 Ph: () - | Phoenix Therapeutics, Pllc 915 Vandora Springs Rd Garner NC 27529-3543 Ph: (919) 996-0707 |
| NPI Number | 1265378046 |
|---|---|
| Provider Enumeration Date | 04/25/2026 |
| Last Update Date | 04/25/2026 |
| Certification Date | 04/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265378046 | NPI | - | NPPES |
| 1154053684 | Other | NC | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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