Organization
PHOENIX RISING COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUNDRETTA MYKEL WOOD LCSW (OWNER/THERAPIST)
(678) 824-2010
Entity
Organization
Contact information
Practice address
200 COLSER DR, COVINGTON, GA 30016-0991
(678) 824-2010
(888) 705-0482
Mailing address
863 FLAT SHOALS RD SE, SUITE C #149, CONYERS, GA 30094-6633
(678) 824-2010
(888) 705-0482
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW005912
GA
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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