PHOENIX RISING COUNSELING SERVICES, LLC


Address: 200 Colser Dr, Covington, GA 30016-0991
Phone: 6788242010

PHOENIX RISING COUNSELING SERVICES, LLC (NPI# 1083155667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083155667
Entity Type Organization
Organization Name PHOENIX RISING COUNSELING SERVICES, LLC
Practice Address 200 Colser Dr
Covington
GA 30016-0991
Mailing Address 863 Flat Shoals Rd Se
Suite C #149
Conyers
GA 30094-6633
Practice Telephone 6788242010
Practice Fax Number 8887050482
Mailing Telephone 6788242010
Mailing Fax Number 8887050482
Enumeration Date 2017-03-15
Last Update Date 2017-03-15
Authorized Official Name MRS. AUNDRETTA MYKEL WOOD (OWNER/THERAPIST)
Authorized Official Telephone 6788242010
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health CSW005912 GA Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386036622 Phoenix Rising Counseling Services, LLC Counselor 114 Bay Street, Suite A, Manchester, NH 03104 2015-02-24
1114386166 Phoenix Rising Counseling Services, LLC Community/Behavioral Health 1512 E Gibson St, Scranton, PA 18510-1902 2016-02-18

Office Location

Street Address 200 COLSER DR
City COVINGTON
State GA
Zip Code 30016-0991

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568904365 Aundretta Wood Social Worker 200 Colser Dr, Covington, GA 30016-0991 2016-11-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013565605 Katrina Williams Case Manager/Care Coordinator 220 Meadowidge Dr, Covington, GA 30016 2019-08-28
1407322134 Mali Rice Registered Nurse 105 Syracuse Lane, Covington, GA 30016 2018-10-20
1619452927 Angelina Jones Contractor 290 Piedmont Circle, Covington, GA 30016 2018-10-02
1881116721 Springhill Manor Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 600 Spring Hill Drive, Covington, GA 30016 2017-07-12
1922538529 Tisha Owes Home Health 110 Trinity Dr, Covington, GA 30016 2017-06-15
1053868695 Delhia Assanah IIi Counselor 101 Kirkland Road, Covington, GA 30016 2016-09-01
1760834295 Resurgens East Surgery Center, LLC Clinic/Center 3241 Iris Dr, Suite 100, Covington, GA 30016 2016-07-08
1528443371 Latoya N Wright Counselor 100 Winnstead Place, Covington, GA 30016 2015-07-22
1598157307 Sierra Private Homecare, Inc. Adult Companion 75 Cinnamon Oak Circle, Covington, GA 30016 2015-03-03
1326391079 Lana Abiola Fraser Nurse's Aide 840 Oakhill Road, Covington, GA 30016 2012-10-18
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497314900 Raymir Behavioral Health LLC Community/Behavioral Health 2899 H D Atha Rd, Covington, GA 30014-0728 2019-06-08
1730547977 Paragon Wellness, LLC Community/Behavioral Health 726 E Rutland St, Covington, LA 70433-3223 2016-02-02
1396136933 Tchefuncte Family Counseling Community/Behavioral Health 321 N Vermont St, Suite 203, Covington, LA 70433-2833 2015-02-17
1780087007 Parr Educational Evaluations, LLC Community/Behavioral Health 5001 Hwy190, Suite B, Covington, LA 70433 2014-10-01
1821497603 Around Atlanta Psychotherapy Concepts, LLC Community/Behavioral Health 580 Clearbrook Dr, Covington, GA 30016-9134 2014-08-18
1023444197 Second Chance Youth Community Center Inc Community/Behavioral Health 3303 Salem Rd, Covington, GA 30016-1865 2013-09-20
1902249485 Family Preservation Services, Inc. Community/Behavioral Health 4050 Midland Trl, Covington, VA 24426-5403 2013-04-15
1831532431 Family Preservation Services, Inc. Community/Behavioral Health 100 Gleason Dr, Covington, VA 24426-6246 2013-04-12
1730522335 Family Preservation Services, Inc. Community/Behavioral Health 1000 Riverview Farm Rd, Covington, VA 24426-6245 2013-04-12
1215294137 Scholar Specialized Treatment Services Community/Behavioral Health 45 Wellstone Pl, Covington, GA 30014-7076 2012-04-17
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Competitor

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City COVINGTON
Zip Code 30016

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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