Organization
PHOENIX RISING THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNE N COLEMAN LCSW-C (CLINICAL DIRECTOR)
(410) 725-1188
Entity
Organization
Contact information
Practice address
100 E PENNSYLVANIA AVE STE 204, TOWSON, MD 21286-0700
(410) 725-1188
Mailing address
100 E PENNSYLVANIA AVE STE 204, TOWSON, MD 21286-0700
(410) 725-1188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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