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Organization

PHOENIX RISE THERAPEUTIC GROUP

Active
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Organization

PHOENIX RISE THERAPEUTIC GROUP

Active
Other names
A Place for Her
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KEISHA L BELL-CELESTAND LPC (OWNER/PROGRAM DIRECTOR)
(318) 582-5880
Entity
Organization

Contact information

Practice address
2525 FERRAND ST, MONROE, LA 71201-3210
(318) 582-5880
(318) 582-5840
Mailing address
2525 FERRAND ST, MONROE, LA 71201-3210
(318) 582-5880
(318) 582-5840

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5132
LA
163W00000X
Registered Nurse
LA
2084P0800X
Psychiatry Physician
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/21/2017
Last updated
07/21/2022
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