# PHOENIX THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043968936
- **Authorized official:** JENNA LYNN OSTROWSKI LCPC (MENTAL HEALTH COUNSELOR)
- **Authorized official phone:** (207) 209-0105

## Contact information

- **Practice address:** 100 CLEARWATER DR UNIT 157, FALMOUTH, ME 04105-1366
- **Practice address phone:** (207) 209-0105
- **Mailing address:** 240 US ROUTE 1 UNIT B1, \#1008, FALMOUTH, ME 04105-1367
- **Mailing address phone:** (207) 386-9875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2022
- **Last updated:** 08/20/2024