# CASA DEL FENIX PLLC

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

## Provider details

- **NPI number:** 1083524433
- **Authorized official:** LEO O MERINO MA, LPC (OWNER)
- **Authorized official phone:** (602) 456-5607

## Contact information

- **Practice address:** 48739 N 5TH AVE, NEW RIVER, AZ 85087-8581
- **Practice address phone:** (602) 456-5607
- **Mailing address:** 4539 N 22ND ST STE N, PHOENIX, AZ 85016-4639
- **Mailing address phone:** (602) 456-5607

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2026
- **Last updated:** 09/09/2026