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NPI Code Detail

MEDICARE: PHOENIX ASCENDING COUNSELING PLLC

MEDICARE: PHOENIX ASCENDING COUNSELING 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1740017367
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHOENIX ASCENDING COUNSELING PLLC
Provider Business Mailing Address
First Line : 9364 TEDDY LN STE 204
Second Line :
City : LONE TREE
State : CO
Zip : 80124-2873
Country : US
Telephone Number : 303-656-1154
Fax Number :
Provider Business Practice Location Address
First Line : 9364 TEDDY LN STE 204
Second Line :
City : LONE TREE
State : CO
Zip : 80124-2873
Country : US
Telephone Number : 303-656-1154
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : ELIZABETH WYNN
Credential : LPC
Telephone Number : 303-656-1154
Provider Enumeration Date : 09/17/2024
Last Update Date : 12/22/2025

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Directions to “PHOENIX ASCENDING COUNSELING PLLC ” Practice Location

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