MEDICARE: PHOENIX RISING MENTAL HEALTH, LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1932063682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHOENIX RISING MENTAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	744 SHENANGO RD
Second Line	:
City	:	BEAVER FALLS
State	:	PA
Zip	:	15010-7111
Country	:	US
Telephone Number	:	571-232-1596
Fax Number	:

Provider Business Practice Location Address
First Line	:	744 SHENANGO RD
Second Line	:
City	:	BEAVER FALLS
State	:	PA
Zip	:	15010-7111
Country	:	US
Telephone Number	:	571-232-1596
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VICTORIA ELENA PHILLIPPI
Credential	:	LPC
Telephone Number	:	571-232-1596

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	05/04/2026

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