| NPI | 1124735485 |
|---|---|
| Doing Business As | THE PHOENIX COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN HAYNIE Owner 505-258-2763 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2023-11-01 |