Phoenix Risings Counseling Center Llc

LBN: Phoenix Risings Counseling Center Llc
Phoenix Risings Counseling Center Llc is an health care organization with primary practice located at 50 Union Ave Ste 804B , Irvington NJ 07111-5221. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Phoenix Risings Counseling Center Llc can be contacted via phone (770) 568-0619, or through Holley, Lynne Chantel via phone (973) 393-0312.

Contact Information

Primary practice address
50 Union Ave Ste 804B Irvington NJ 07111-5221
Phone: (770) 568-0619
Fax: (973) 629-1741
Website:
Map and Directions
Authorized official contact:
Name: Holley, Lynne Chantel LCSW LCADC
Phone: (973) 393-0312

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00259900 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05717900 New Jersey

Profile Details

NPI number 1417479056
LBN Legal business name Phoenix Risings Counseling Center Llc
DBA Doing business as
Authorized official Holley, Lynne Chantel LCSW LCADC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2017
Last updated Aug 21st, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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