# PHOENIX COUNSELING SERVICES, INC.

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

## Provider details

- **NPI number:** 1396883955
- **Authorized official:** MIRIAM 'MIMS' GORDON M.ED., LPC (OWNER, THERAPIST)
- **Authorized official phone:** (865) 548-7474

## Contact information

- **Practice address:** 729 CHARLES SEIVERS, CLINTON, TN 37716
- **Practice address phone:** (865) 548-7474
- **Practice address fax:** (865) 494-9819
- **Mailing address:** PO BOX 567, NORRIS, TN 37828-0567
- **Mailing address phone:** (865) 548-7474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 298 | TN | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 08/22/2020