Organization
PHOENIX RISING BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA ANNI SKURJA LMFT (OWNER)
(470) 447-2129
Entity
Organization
Contact information
Practice address
120 VILLAGE CIR, SENOIA, GA 30276-3374
(470) 447-2129
(470) 447-2139
Mailing address
120 VILLAGE CIR, SENOIA, GA 30276-3374
(470) 447-2129
(470) 447-2139
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003250580A
—
GA
Enumeration date
04/12/2021
Last updated
02/12/2026
About Stedi
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