# PHOENIX RISNG THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phoenix Rising Therapy, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679311070
- **Authorized official:** MS. ANDREA LYNN SKELTON LSCSW (OWNER-- LEAD THERAPIST)
- **Authorized official phone:** (316) 399-6497

## Contact information

- **Practice address:** 1721 E OSAGE RD STE 400, DERBY, KS 67037-2093
- **Practice address phone:** (316) 399-6497
- **Mailing address:** 1721 E OSAGE RD STE 400, DERBY, KS 67037-2093
- **Mailing address phone:** (316) 399-6497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2024
- **Last updated:** 07/18/2024