Organization
PHOENIX MENTAL HEALTH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER JANSEN LMHC (OWNER)
(845) 489-7999
Entity
Organization
Contact information
Practice address
1607 ROUTE 300 STE 119, NEWBURGH, NY 12550-1738
(845) 489-7999
Mailing address
1607 ROUTE 300 STE 119, NEWBURGH, NY 12550-1738
(845) 489-7999
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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