Organization
RISING PHOENIX COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALLEN MARTIN LMFT (OWNER)
(386) 837-2362
Entity
Organization
Contact information
Practice address
366 E GRAVES AVE STE D, ORANGE CITY, FL 32763-5266
(407) 777-2596
Mailing address
130 SUNRISE BLVD, DEBARY, FL 32713-3849
(386) 837-2362
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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