Organization
PHOENIX THERAPY LLC
Active
Other names
Crystal Mitchell Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL SHANATAI MITCHELL-BRIVETT LMFT (MANAGING MEMBER)
(203) 898-4265
Entity
Organization
Contact information
Practice address
422 HIGHLAND AVENUE, BUILDING C SUITE 1, CHESHIRE, CT 06410-2526
(800) 820-8210
Mailing address
31 HAWTHORNE AVE, DERBY, CT, CT 06418-1101
(800) 820-8210
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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