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Organization
PHOENIX SOARING COUNSELING LLC
Active
Organization
PHOENIX SOARING COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ANIKA SMITH (OWNER)
(859) 365-0095
Entity
Organization
Contact information
Practice address
600 RODEO DR # 201, ERLANGER, KY 41018-1279
(859) 957-8080
Mailing address
600 RODEO DR # 201, ERLANGER, KY 41018-1279
(859) 957-8080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
12/17/2024
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