Organization
BLUE PHOENIX COUNSELING LLC
Active
Organization
BLUE PHOENIX COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DAVIS (PRACTICE OWNER)
(216) 409-5820
Entity
Organization
Contact information
Practice address
278 VIRGO CT, THOUSAND OAKS, CA 91360-2740
(216) 409-5820
Mailing address
1534 N MOORPARK RD STE 335, THOUSAND OAKS, CA 91360-5129
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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