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Organization

PHOENIXHEALTHLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL PRAUSE LPC-S (CLINICAL DIRECTOR)
(479) 877-5950
Entity
Organization

Contact information

Practice address
701 NW MCNELLY RD STE 9, BENTONVILLE, AR 72712-9160
(479) 877-5950
Mailing address
701 NW MCNELLY RD STE 9, BENTONVILLE, AR 72712-9160
(479) 877-5950

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/20/2026
Last updated
01/20/2026
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform