Organization
PHOENIX COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN ELIZABETH MAGUIRE LCSW, PIP (SOLE PROPRIETOR)
(251) 654-8523
Entity
Organization
Contact information
Practice address
2450B OLD SHELL RD, MOBILE, AL 36607-3020
(251) 654-8523
(251) 633-3176
Mailing address
2450B OLD SHELL RD, MOBILE, AL 36607-3020
(251) 654-8523
(251) 633-3176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2149C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255599072
INDIVIDUAL NPI
AL
Enumeration date
03/31/2011
Last updated
03/31/2011
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