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Organization

AMY'S RISING PHOENIX COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMY LEIGH O'HEARN LCSW, LCAS (OWNER)
(336) 265-2720
Entity
Organization

Contact information

Practice address
3225 BATTLEGROUND AVE STE 4, GREENSBORO, NC 27408-2636
(336) 265-2720
(336) 265-2721
Mailing address
2710 CHADBURY DR, GREENSBORO, NC 27407-6697
(336) 987-4449

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
07/24/2024
Last updated
07/24/2024
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