Organization
RISING SUN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KAVANAGH LPC (OWNER)
(614) 955-0182
Entity
Organization
Contact information
Practice address
4652 E PIEDMONT RD, PHOENIX, AZ 85044-5555
(614) 955-0182
Mailing address
4652 E PIEDMONT RD, PHOENIX, AZ 85044-5555
(614) 955-0182
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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