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Organization
ASCENSION OF THE PHOENIX COUNSELING
Active
Organization
ASCENSION OF THE PHOENIX COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA LEIGH GRAHAM EDD, LPC-S, NCC, MAC (DIRECTOR OF CLINICAL OPERATIONS)
(888) 322-3492
Entity
Organization
Contact information
Practice address
1453 BIG HILL RD, PENNINGTON GAP, VA 24277-8133
(276) 870-2197
Mailing address
PO BOX 152, PENNINGTON GAP, VA 24277-0152
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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