MEDICARE: THE PHOENIX IN EVERY HUMAN BEING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1588558811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PHOENIX IN EVERY HUMAN BEING PLLC

Provider Business Mailing Address
First Line	:	5900 BALCONES DR STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4298
Country	:	US
Telephone Number	:	940-600-1139
Fax Number	:

Provider Business Practice Location Address
First Line	:	14114 DALLAS PKWY STE 560
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-1343
Country	:	US
Telephone Number	:	940-600-1139
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHANA JIMENEZ
Credential	:	LPC
Telephone Number	:	945-259-5426

Provider Enumeration Date	:	06/03/2025
Last Update Date	:	07/25/2025

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Directions to “THE PHOENIX IN EVERY HUMAN BEING PLLC ” Practice Location

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