Organization
RISING PHOENIX HEALTH AND WELLNESS EMPOWERMENT CENTER, LLC
Active
Organization
RISING PHOENIX HEALTH AND WELLNESS EMPOWERMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIRA SMITH LCSW (OWNER)
(404) 200-7754
Entity
Organization
Contact information
Practice address
2395 WALL ST SE STE 170, CONYERS, GA 30013-6703
(404) 200-7754
Mailing address
1543 LILBURN STONE MOUNTAIN RD, STONE MOUNTAIN, GA 30087-1851
(404) 200-7754
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
09/05/2025
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