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Organization

RISING PHOENIX COUNSELING CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVIN FLATMO PLMHP (OWNER)
(402) 490-2378
Entity
Organization

Contact information

Practice address
245 S 84TH ST STE L101, LINCOLN, NE 68510-2601
(402) 490-2378
Mailing address
3040 N 95TH ST, LINCOLN, NE 68507-3226
(402) 490-2378

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
02/08/2022
Last updated
02/08/2022
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