Organization
PHOENIX RISING PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN BAUGUS KOPP LCSW (OWNER)
(678) 389-5327
Entity
Organization
Contact information
Practice address
3045 RIVERMONT WAY, ROSWELL, GA 30076-2981
(678) 389-5327
Mailing address
1000 PEACHTREE INDUSTRIAL BLVD STE 6144, SUWANEE, GA 30024-6737
(678) 389-5327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
06/24/2024
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