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Organization
PHOENIX COLLECTIVE INC
Active
Organization
PHOENIX COLLECTIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN MATHY MSW, MSC, LCSW (PRESIDENT AND CEO)
(651) 535-0773
Entity
Organization
Contact information
Practice address
7456 MISSION GORGE ROAD, UNIT 165, SAN DIEGO, CA 92120-1301
(619) 535-0773
(619) 535-7055
Mailing address
344 N CENTRAL AVE APT 9, MEDFORD, OR 97501-5952
(619) 535-0773
(619) 535-7055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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