# PHOENIX SOARING COUNSELING LLC

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

## Provider details

- **NPI number:** 1760170955
- **Authorized official:** LINDA ANIKA SMITH (OWNER)
- **Authorized official phone:** (859) 365-0095

## Contact information

- **Practice address:** 600 RODEO DR \# 201, ERLANGER, KY 41018-1279
- **Practice address phone:** (859) 957-8080
- **Mailing address:** 600 RODEO DR \# 201, ERLANGER, KY 41018-1279
- **Mailing address phone:** (859) 957-8080

## Taxonomy

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

## Other

- **Enumeration date:** 04/26/2023
- **Last updated:** 12/17/2024