# PHOENIX COUNSELING COLLABORATIVE LLC

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

## Provider details

- **NPI number:** 1124754122
- **Authorized official:** MONICA NICHOLS-ARMSTRONG MA, LCAS, CSI (PROGRAM DIRECTOR)
- **Authorized official phone:** (336) 414-7794

## Contact information

- **Practice address:** 306 N WHITE ST, DOBSON, NC 27017-8938
- **Practice address phone:** (336) 443-4076
- **Practice address fax:** (336) 443-4126
- **Mailing address:** PO BOX 823, DOBSON, NC 27017-0823
- **Mailing address phone:** (336) 443-4076
- **Mailing address fax:** (336) 443-4126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 08/01/2022
- **Last updated:** 08/01/2022