Organization
PHOENIX HEALING GROUP
Active
Other names
Phoenix Healing Services
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LASHAWN JANELL WATERS LPCMH (CEO)
(610) 761-2129
Entity
Organization
Contact information
Practice address
10 CORPORATE CIR STE 201, NEW CASTLE, DE 19720-2418
(610) 761-2129
Mailing address
607 HELMSDALE CIR, NEW CASTLE, DE 19720-3830
(610) 761-2129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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