Organization
PHOENIX RISING NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MANCEFIELD HIGH IV (OWNER)
(702) 203-0743
Entity
Organization
Contact information
Practice address
5880 BOULDER FALLS ST APT 2033, HENDERSON, NV 89011-4962
(702) 203-0743
Mailing address
5880 BOULDER FALLS ST APT 2033, HENDERSON, NV 89011-4962
(702) 203-0743
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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