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Organization
PHOENIX HOLISTIC SERVICES LLC
Active
Organization
PHOENIX HOLISTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN E SMART LCSW (CLINICAL SOCIAL WORKER)
(917) 226-6726
Entity
Organization
Contact information
Practice address
15569 115TH RD, JAMAICA, NY 11434-1023
(917) 226-6726
Mailing address
15569 115TH RD, JAMAICA, NY 11434-1023
(917) 226-6726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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