| Rising Phoenix Psychology And Counseling Llc | |
|
123 S Cochran Ave Ste D Charlotte MI 48813-1509 | |
| (517) 997-6088 | |
| Not Available |
| Full Name | Rising Phoenix Psychology And Counseling Llc |
|---|---|
| Speciality | Psychologist |
| Location | 123 S Cochran Ave Ste D, Charlotte, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Phoenix Psychology And Counseling Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Rising Phoenix Psychology And Counseling Llc 123 S Cochran Ave Ste D Charlotte MI 48813-1509 Ph: (517) 997-6088 |
| NPI Number | 1033888565 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033888565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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