Phoenix Rising Therapeutic Services Lcsw Pc

LBN: Phoenix Rising Therapeutic Services Lcsw Pc
Phoenix Rising Therapeutic Services Lcsw Pc is an health care organization with primary practice located at 5295 E Valley Rd , Alfred Station NY 14803-9715. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Phoenix Rising Therapeutic Services Lcsw Pc can be contacted via phone (607) 587-8260, or through Mcdonough, Mary Beth via phone (607) 587-8260.

Contact Information

Primary practice address
5295 E Valley Rd Alfred Station NY 14803-9715
Phone: (607) 587-8260
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcdonough, Mary Beth LCSW-R
Phone: (607) 587-8260

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R045595-1 New York

Profile Details

NPI number 1003295395
LBN Legal business name Phoenix Rising Therapeutic Services Lcsw Pc
DBA Doing business as
Authorized official Mcdonough, Mary Beth LCSW-R
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2015
Last updated May 20th, 2015 - about 10 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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