Organization
THE PHOENIX REBORN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAVA LEAH JAROSZ (THERAPIST/MEMBER)
(443) 840-8236
Entity
Organization
Contact information
Practice address
18 PARKWIND CT, PARKVILLE, MD 21234-4237
(443) 840-8236
Mailing address
18 PARKWIND CT, PARKVILLE, MD 21234-4237
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/07/2023
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