Organization
RISE PHOENIX MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANZA CHATMAN LMHC-D (OWNER)
(585) 479-0211
Entity
Organization
Contact information
Practice address
1349 AYRAULT RD APT 101, FAIRPORT, NY 14450-8913
(585) 479-0211
Mailing address
PO BOX 173, FAIRPORT, NY 14450-0173
(585) 479-0211
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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