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Organization
PHOENIX HOUSE OF HOPE INC
Active
Organization
PHOENIX HOUSE OF HOPE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHOENIX HOUSE OF HOPE INC LAURENCEAU (MSW)
(786) 326-8742
Entity
Organization
Contact information
Practice address
2561 SW GROTTO CIR, PORT SAINT LUCIE, FL 34953-2927
(772) 236-3402
(772) 236-3402
Mailing address
2561 SW GROTTO CIR, PORT SAINT LUCIE, FL 34953-2927
(772) 236-3402
(772) 236-3402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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