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Organization
PHOENIX THRIVING, PLLC
Active
Organization
PHOENIX THRIVING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER L DAVIES (PRESIDENT AND MANAGER)
(512) 560-7294
Entity
Organization
Contact information
Practice address
3400 KERBEY LN, AUSTIN, TX 78703-1455
(512) 560-7294
(512) 524-1412
Mailing address
3400 KERBEY LN, BOX 55, AUSTIN, TX 78703-1455
(512) 560-7294
(512) 524-1412
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
39631
TX
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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