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Organization

PHOENIX RISING LIFE COACHING SERVICES, LLC

Active
Other names
PHOENIX RISING COUNSELING AND LIFE COACHING SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
SIMONE CIDNEE ALLISON PHILLIPS MSW, LCSW, BA, RN (PRACTICE OWNER/CEO)
(484) 895-5915
Entity
Organization

Contact information

Practice address
35 E ELIZABETH AVE STE 6, BETHLEHEM, PA 18018-6505
(610) 442-7186
Mailing address
35 E ELIZABETH AVE STE 6, BETHLEHEM, PA 18018-6505
(610) 442-7186

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1144860727
NOT APPLICABLE
PA
Enumeration date
01/10/2020
Last updated
06/26/2020
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