PHOENIX RISING TELEPSYCH

PRAIRIE VILLAGE, KS
NPI1144069790
Entity TypeOrganization
Authorized ContactJACLYN MCINTYRE
Owner
913-398-2530
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-05-22
Last Update Date2024-10-30
Business Address
PHOENIX RISING TELEPSYCH
6917 TOMAHAWK RD
PRAIRIE VILLAGE, KS 66208-2618
Phone number: 913-398-2530
Mailing Address
PHOENIX RISING TELEPSYCH
PO BOX 8544
PRAIRIE VILLAGE, KS 66208-0544
Phone number: 913-398-2530