Organization
A PHOENIX RISING, LLC
Active
Other names
A Phoenix Rising, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. XANDER JOHN BURGESS LPC, LMFT (OWNER)
(719) 439-6785
Entity
Organization
Contact information
Practice address
308 W FILLMORE ST STE 201, COLORADO SPRINGS, CO 80907-6000
(719) 439-6785
Mailing address
308 W FILLMORE ST STE 201, COLORADO SPRINGS, CO 80907-6000
(719) 439-6785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/30/2020
Last updated
04/16/2025
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