Organization
PHOENIX BEHAVIORAL HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN PORTER LPC (PSYCHOTHERAPIST)
(318) 737-0449
Entity
Organization
Contact information
Practice address
3436 MAGAZINE ST, NEW ORLEANS, LA 70115-2480
(318) 737-0449
Mailing address
3436 MAGAZINE ST # 8024, NEW ORLEANS, LA 70115-2413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/22/2022
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