| Rising Phoenix Health And Wellness Empowerment Center, Llc | |
|
1543 Lilburn Stone Mountain Rd Stone Mountain GA 30087-1851 | |
| (404) 200-7754 | |
| Not Available |
| Full Name | Rising Phoenix Health And Wellness Empowerment Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1543 Lilburn Stone Mountain Rd, Stone Mountain, Georgia |
| Authorized Official Name and Position | Samira Smith (OWNER) |
| Authorized Official Contact | 4042007754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Phoenix Health And Wellness Empowerment Center, Llc 1543 Lilburn Stone Mountain Rd Stone Mountain GA 30087-1851 Ph: (404) 200-7754 | Rising Phoenix Health And Wellness Empowerment Center, Llc 1543 Lilburn Stone Mountain Rd Stone Mountain GA 30087-1851 Ph: (404) 200-7754 |
| NPI Number | 1194411496 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 04/11/2023 |
| Certification Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194411496 | NPI | - | NPPES |
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