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Organization

PHOENIX RISING THERAPY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEMMA GRACE RIVERA LMFT, LCPC, LCADC (CO-FOUNDER)
(702) 379-6645
Entity
Organization

Contact information

Practice address
2520 SAINT ROSE PKWY STE 221, HENDERSON, NV 89074-7789
(702) 376-5842
Mailing address
2520 SAINT ROSE PKWY STE 221, HENDERSON, NV 89074-7789
(702) 376-5842

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
06/10/2019
Last updated
06/10/2019
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