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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