# PHOENIX THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crystal Mitchell Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053168393
- **Authorized official:** CRYSTAL SHANATAI MITCHELL-BRIVETT LMFT (MANAGING MEMBER)
- **Authorized official phone:** (203) 898-4265

## Contact information

- **Practice address:** 422 HIGHLAND AVENUE, BUILDING C SUITE 1, CHESHIRE, CT 06410-2526
- **Practice address phone:** (800) 820-8210
- **Mailing address:** 31 HAWTHORNE AVE, DERBY, CT, CT 06418-1101
- **Mailing address phone:** (800) 820-8210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2024
- **Last updated:** 05/03/2024