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General NPI Number Information
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NPI Number | 1225913890
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Entity Type | Organization
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Legal Business Name | HOUSE OF THE RISING PHOENIX, LLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 2836 AMELIA ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-6804
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Country | US
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Telephone | 504-358-0978
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Fax | 504-226-5513
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Provider Business Mailing Address
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Address Line | 8735 DUNWOODY PL # 10399
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 504-358-0978
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Fax | 504-226-5513
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER JONES
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Credential | LPC
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Telephone | 504-358-0978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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