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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