PHOENIX RISING LIFE COACHING SERVICES, LLC (NPI# 1144860727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144860727 |
| Entity Type | Organization |
| Organization Name | PHOENIX RISING LIFE COACHING SERVICES, LLC |
| Other Organization Name | PHOENIX RISING COUNSELING AND LIFE COACHING SERVICES |
| Practice Address |
35 E Elizabeth Ave Ste 6 Bethlehem PA 18018-6505 |
| Practice Telephone | 6104427186 |
| Mailing Telephone | 6104427186 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | SIMONE CIDNEE ALLISON PHILLIPS (PRACTICE OWNER/CEO) |
| Authorized Official Telephone | 4848955915 |
| Authorized Official Credential | MSW, LCSW, BA, R |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | NOT APPLICABLE | 1144860727 | 01 |
| Other Name | Type Code |
|---|---|
| PHOENIX RISING COUNSELING AND LIFE COACHING SERVICES | Doing Business As Name - Organization |
| Street Address |
35 E ELIZABETH AVE STE 6 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18018-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003371881 | Simone Cidnee-allison Phillips | Counselor | 35 E Elizabeth Ave Ste 6, Bethlehem, PA 18018-6505 | 2019-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1780106179 | Courtney Jane Kruscavage | Specialist/Technologist | 641 Dellwood Street, Bethlehem, PA 18018 | 2017-07-07 |
| 1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
| 1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
| 1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
| 1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
| 1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
| 1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
| 1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| Find all providers in zip 18018 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857800 | Simple Healing LLC | Clinic/Center | 11 W 2nd St Unit 305, Bethlehem, PA 18015-1294 | 2020-10-07 |
| 1568013621 | Bright Solutions Counseling | Clinic/Center | 35 E Elizabeth Ave Ste 29c, Bethlehem, PA 18018-6505 | 2019-09-20 |
| 1568931087 | Btg Counseling and Educational Services, LLC. | Clinic/Center | 60 W Broad St Ste 202, Bethlehem, PA 18018-5721 | 2018-11-14 |
| 1922277946 | Bet-el Counseling Services, Inc | Clinic/Center | 307 E 4th St, Bethlehem, PA 18015-1775 | 2008-02-23 |
| 1760455596 | Lehighvalley Community Mental Health Centers, Inc. | Clinic/Center | 865 E 4th St, Bethlehem, PA 18015-1935 | 2006-02-10 |
| 1053838813 | Holistic Awakenings | Clinic/Center | 206 W Broad St, Bethlehem, PA 18018-5571 | 2017-08-23 |
| 1225499643 | Changing Life Counseling Center | Clinic/Center | 865 E 4th St, Bethlehem, PA 18015-1935 | 2016-03-11 |
| 1629441860 | Allison Branche | Clinic/Center | 90 S Commerce Way, Bethlehem, PA 18017 | 2015-11-10 |
| 1366815664 | Timothy Minarovic | Clinic/Center | 90 S Commerce Way, Suite 300, Bethlehem, PA 18017-8601 | 2015-11-09 |
| 1558489682 | Creative Treatment Solutions | Clinic/Center | 1754 W Broad St, Bethlehem, PA 18018-3300 | 2007-03-27 |
| Find all providers in BETHLEHEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.