Organization
PHOENIX RECOVERY
Active
Other names
Phoenix Recovery LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY J LOHMAN MS LPC CSAC (CO-FOUNDER)
(608) 893-1050
Entity
Organization
Contact information
Practice address
621 N SHERMAN AVE STE B15, MADISON, WI 53704-4445
(608) 893-1050
(608) 893-1503
Mailing address
621 N SHERMAN AVE STE B17, MADISON, WI 53704-4445
(608) 893-1050
(608) 893-1503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
03/06/2025
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