Organization
PHOENIX RISING PSYCHOTHERAPY CENTER PLLC
Active
Organization
PHOENIX RISING PSYCHOTHERAPY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL LUMIA LMHC (OWNER)
(561) 502-1500
Entity
Organization
Contact information
Practice address
816 W CANAL ST S, BELLE GLADE, FL 33430-2942
(561) 502-1500
Mailing address
4060 ROYAL PALM BEACH BLVD, WEST PALM BEACH, FL 33411-9165
(561) 502-1500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
06/11/2020
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