RISING PHOENIX HEALTH AND WELLNESS EMPOWERMENT CENTER LLC NPI 1194411496

NPI Information

NPI: 1194411496
Provider Name: RISING PHOENIX HEALTH AND WELLNESS EMPOWERMENT CENTER, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1543 LILBURN STONE MOUNTAIN RD
STONE MOUNTAIN, GA
ZIP 30087
Phone: (404) 200-7754
Get Directions

RISING PHOENIX HEALTH AND WELLNESS EMPOWERMENT CENTER, LLC is a mental health (including community mental health center) clinic center in Stone Mountain, GA. RISING PHOENIX HEALTH AND WELLNESS EMPOWERMENT CENTER, LLC NPI is 1194411496. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1543 LILBURN STONE MOUNTAIN RD
STONE MOUNTAIN, GA
ZIP 30087-851
Phone: (404) 200-7754

The provider's authorized official is Samira Smith .
The authorized official title is Owner and has the following contact phone number (404) 200-7754.

The enumeration date for this NPI number is 4/11/2023 and was last updated on 4/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	171400000X	Health and Wellness Coach		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »